Patricia S Dickinson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2670 Issued in NC

Practice address

318A E Main St
Havelock, NC 28532-2214

Phone

(252) 447-7764

Fax

(252) 444-6800

NPI assigned

Sep 2, 2005

Reactivated

Mar 31, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dickinson Psychological Services PA

  • Clinical Psychologist
  • Havelock, NC
  • NPI 1417115429
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962496190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318A E MAIN ST",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285322214",
            "telephone_number": "252-447-7764",
            "fax_number": "252-444-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318A E MAIN ST",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285322214",
            "telephone_number": "252-447-7764",
            "fax_number": "252-444-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "PATRICIA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHEILD",
            "identifier": "045JF",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000180",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desmone Family Eye Care, OD PA (Eye Clinic of Havelock)
• Barbara Ann Desmone, O.D.
• John Francis Desmone, O.D.
• Keiandria Nicole Dickerson
• Dickinson Psychological Services PA
• Alexander Thomas Dixon, DO
• Durham Vamc
• Early Bird Interventions, LLC
• Easter Seals Ucp North Carolina & Virginia
• Easter Seals Ucp North Carolina & Virginia, Inc.

• Clinical Psychologist in Havelock, NC
• Providers in Havelock, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.

Verify at the official NPI Registry.