Patricia S Dixon-PSYD

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PY8356 Issued in FL

Legal business name

PATRICIA S DIXON-PSYD

Practice address

5348 1St Ave N
St Petersburg, FL 33710-8106

Phone

(727) 322-6123

NPI assigned

Sep 21, 2011

Last updated

Sep 21, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patricia Shalene Dixon, PSY.D.NPI 1598046286

Title

Clinical Psychologist

Phone

(727) 322-6123

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Shalene Dixon, PSY.D

  • Clinical Psychologist
  • Palmetto, FL
  • NPI 1598046286
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1790068344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47918",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337437918",
            "telephone_number": "727-322-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5348 1ST AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108106",
            "telephone_number": "727-322-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA S DIXON-PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "SHALENE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "727-322-6123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "PY8356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598046286",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patient Connect Healthcare Clinic LLC
• Patiently Caring
• Abhitabh Patil, M.D.
• Brittney Patillo, CNA
• Pamela M Patranella, MD
• Patrick a Carrier Mdpa (Patrick A Carrier MD)
• Patrick Manor
• Patromas LLC (Dr. Patty Psychology)
• Elizabeth Patterson, MHC
• Jebhar Patterson

• Community/Behavioral Health Agency in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.