Active NPI
Veronica Ichikawa Dillon
- Clinical Neuropsychologist
- Ann Arbor, MI
National Provider Identifier
1801164496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- L2063630
- Practice address
- 5600 Meadow Dr
Ann Arbor, MI 48105-9368 - Phone
- (734) 484-6911
- Fax
- (734) 484-6913
- NPI assigned
- Dec 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 Neuropsychologist | 103G00000X | L2063630 | MI | Primary |
Addresses
Primary practice location
5600 Meadow Dr
Ann Arbor, MI 48105-9368
Mailing address
5600 Meadow Dr
Ann Arbor, MI 48105-9368
Phone (734) 484-6911
Other practice location 1
2010 Hogback Rd Ste 6G
Ann Arbor, MI 48105-8800
Phone (734) 386-0041
Other practice location 2
1062 Orndorf Dr
Brighton, MI 48116-2308
Phone (734) 386-0041
Other names 1
- Dr. Veronica Ichikawa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3265 122ND Ave
R2
Allegan, MI 49010-9574
Phone (269) 673-2102
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.05 of 100
- Quality
- 0
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L2063630 | MI | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriatric Psychiatric Services PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Novi, MI
- NPI 1164816195
-
- Clinical Psychologist
- Indianapolis, IN
- NPI 1073753323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1801164496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 MEADOW DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059368",
"telephone_number": "734-484-6911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 MEADOW DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059368",
"telephone_number": "734-484-6911",
"fax_number": "734-484-6913"
}
],
"practiceLocations": [
{
"address_1": "2010 Hogback Rd Ste 6G",
"address_purpose": "LOCATION",
"city": "Ann Arbor",
"state": "MI",
"postal_code": "481058800",
"country_code": "US",
"telephone_number": "734-386-0041",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1062 Orndorf Dr",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MI",
"postal_code": "481162308",
"country_code": "US",
"telephone_number": "734-386-0041",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DILLON",
"first_name": "VERONICA",
"middle_name": "ICHIKAWA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-09",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MI",
"license": "L2063630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VERONICA",
"last_name": "ICHIKAWA",
"prefix": "DR.",
"credential": "PH.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.