Sheila Blythe Dickson, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20778 Issued in CA

Practice address

3561 Phillips Ave
Santa Rosa, CA 95407-8075

Phone

(707) 585-2451

NPI assigned

Jul 29, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1881825537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3561 PHILLIPS AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954078075",
            "telephone_number": "707-585-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3561 PHILLIPS AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954078075",
            "telephone_number": "707-585-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "SHEILA",
        "middle_name": "BLYTHE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "20778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin W Dickey, MD, MPH
• Brianne Zechlinski Dickey
• Cynthia Louise Dickinson, RN
• Walter Reed Dickinson, D.M.D.
• Heather Dickison, AMFT
• Robert P Didier, D.D.S.
• Heidi Diebel, LMFT
• Caitlyn Diebold
• Tara Lynn Dikeman, M.ED.,OTR
• Vanla Nyna Dikousman

• Psychologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; 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.