Katherine Lee Dixon-Gordon, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10014 Issued in MA

Practice address

135 Hicks Way
University of Massachusetts Amherst Dept of Psychology
Amherst, MA 01003-9271

Phone

(413) 545-0226

Fax

(413) 545-0996

NPI assigned

Oct 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 11, 2018 through Dec 11, 2026

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": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413590400000",
    "number": "1942604061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 HICKS WAY",
            "address_2": "UNIVERSITY OF MASSACHUSETTS AMHERST DEPT OF PSYCHOLOGY",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010039271",
            "telephone_number": "413-545-0226",
            "fax_number": "413-545-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 HICKS WAY",
            "address_2": "UNIVERSITY OF MASSACHUSETTS AMHERST DEPT OF PSYCHOLOGY",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010039271",
            "telephone_number": "413-545-0226",
            "fax_number": "413-545-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON-GORDON",
        "first_name": "KATHERINE",
        "middle_name": "LEE",
        "name_prefix": "Prof.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "53 922",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen J Dezenzo, LICSW
• Jyotika Dhawan
• Andrea Ange Dibenedetto, ED.D.
• Pooja Dipanker
• Amanda M Distasio, PH.D.
• Julie A Domeier, LCSW-R
• Patricia Ann Donahue, MSN/MBA, APRN - BC
• Amber N Douglas, PHD
• Downtown Therapy Associates LLC
• Ashley Drake, DPT

• Clinical Psychologist in Amherst, MA
• Providers in Amherst, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.