Individual provider Active NPI

David Dean, ED.D.

  • Health Service Psychologist
  • Pensacola, FL
National Provider Identifier
1821182841
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
20040522A Issued in IN
Practice address
Deployment Health - Naval Hospital Pensacola
6000 West Highway 98
Pensacola, FL 32512
Phone
(850) 505-6174
Fax
(850) 505-6933
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 20040522A IN Primary

Addresses

Primary practice location

Deployment Health - Naval Hospital Pensacola
6000 West Highway 98
Pensacola, FL 32512

Mailing address

7296 Brewster St
Navarre, FL 32566-6738
Phone (850) 939-7628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20131021001466 FL Order and Referring Only - Clinical Psychologist 1759322001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20040522AINMDHealth Service Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821182841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7296 BREWSTER ST",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325666738",
            "telephone_number": "850-939-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPLOYMENT HEALTH - NAVAL HOSPITAL PENSACOLA",
            "address_2": "6000 WEST HIGHWAY 98",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32512",
            "telephone_number": "850-505-6174",
            "fax_number": "850-505-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IN",
            "license": "20040522A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.