Carol S Dillingham, PHD – Clinical Psychologist

Key facts

NPI: 1972664209
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Psychologist 103TC0700X
License: PY0308 (NV)
Practice address: 1538 Hwy 395 North
Gardnerville, NV 89410
Phone: (775) 782-3671
Fax: (775) 782-6639
NPI assigned: Dec 12, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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

State of Nevada Mental Health Clinic/Center (Including Community Mental Health Center) · Gardnerville, NV · NPI 1972684355

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
PY0308	NV	MD	Clinical Psychologist

Practice roles

Organization	Specialty	Status	New patients
State of Nevada		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Psychologist	103TC0700X	PY0308	NV	Yes

Addresses

Primary practice location

1538 Hwy 395 North
Gardnerville, NV 89410

Mailing address

4126 Technology Way
Suite 102
Carson City, NV 89706-2009
Phone (775) 687-7573

Other providers in Gardnerville, NV

All providers in Gardnerville, NV · Clinical Psychologist in Nevada

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.