Nerak Alicia Dickerson, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

39049 Issued in TX

Practice address

7801 Oakmont Blvd Ste 101
Fort Worth, TX 76132-4242

Phone

(682) 841-1475

Fax

(682) 708-3775

NPI assigned

Apr 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Telos ProjectGroup PAC ID 1153603469, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Telos Project

  • Clinical Psychologist
  • Fort Worth, TX
  • NPI 1457893232

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1790217347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 OAKMONT BLVD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324242",
            "telephone_number": "682-841-1475",
            "fax_number": "682-708-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 OAKMONT BLVD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324242",
            "telephone_number": "682-841-1475",
            "fax_number": "682-708-3775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "669 Airport Fwy",
            "address_2": "Sutie 302",
            "address_purpose": "LOCATION",
            "city": "Hurst",
            "state": "TX",
            "postal_code": "760533970",
            "country_code": "US",
            "telephone_number": "817-952-3330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "669 Airport Fwy",
            "address_2": "Sutie 302",
            "address_purpose": "LOCATION",
            "city": "Hurst",
            "state": "TX",
            "postal_code": "760533970",
            "country_code": "US",
            "telephone_number": "817-952-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "NERAK",
        "middle_name": "ALICIA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Dick, PA
• Dick'S Bigheart, LLC
• Adam Dickerson, DO
• Ligia Dickerson, LOT
• Madeline McCluer Dickerson, AG-ACNP
• Robin Dickey, LPC-INTERN
• Douglas Darko Dickson, MD
• Ginger Rhea Dickson, L.P.C.
• Jacob Dickson, BS IONM
• Shirlecia J Dickson

• Clinical Psychologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.