Carla S. Dixon, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

173720 Issued in NY

Practice address

500 Linda Ave
Linden Hill RTF -- J.B.F.C.S.
Hawthorne, NY 10532-1313

Phone

(914) 773-7500

NPI assigned

Jun 5, 2007

Sex

Female

Sole proprietor

Yes

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 NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861694267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LINDA AVE",
            "address_2": "LINDEN HILL RTF -- J.B.F.C.S.",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321313",
            "telephone_number": "914-773-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LINDA AVE",
            "address_2": "LINDEN HILL RTF -- J.B.F.C.S.",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321313",
            "telephone_number": "914-773-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "CARLA",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "173720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Francis Dicostanzo, DDS
• Alexander Difiore, MHC-LP
• Andrew Dillenbeck
• Ananda Dimartino, PA -C
• Sandra Dineen, NP
• Joelen M. Donohue, M.S. CCC-SLP
• Tara Marie Doran
• Alexander Dorrough, DDS CAS
• Supendeep Dosanjh
• Allen J Dozor, MD

• Psychiatry Physician in Hawthorne, NY
• Providers in Hawthorne, NY by specialty
• Psychiatry Physician in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.