Active NPI
Rebecca Ann Dyer, PH.D.
- Clinical Psychologist
- Fort Bragg, NC
National Provider Identifier
1770680175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 31104
- Practice address
- 2817 Reilly Road
Building 4-2817
Fort Bragg, NC 28317 - Phone
- (910) 643-0729
- Fax
- (910) 643-1113
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 31104 | TX | Primary |
Addresses
Primary practice location
2817 Reilly Road
Building 4-2817
Fort Bragg, NC 28317
Mailing address
3911 Southern Oaks Dr Unit 3
Fayetteville, NC 28314-0997
Phone (910) 643-0729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770680175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 SOUTHERN OAKS DR UNIT 3",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283140997",
"telephone_number": "910-643-0729",
"fax_number": "910-643-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 REILLY ROAD",
"address_2": "BUILDING 4-2817",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "28317",
"telephone_number": "910-643-0729",
"fax_number": "910-643-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "REBECCA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "31104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.