Roxann Cozette Dhom, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Newton, IL
NPI 1992629968 · NPPES record last updated Aug 4, 2026
Key facts
- NPI
- 1992629968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 209022282 (IL)
- Practice address
- 300 S Scott Ave
Newton, IL 62448-1658 - Phone
- (618) 783-2309
- NPI assigned
- Aug 4, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209022282 | IL | Yes |
Addresses
Primary practice location
300 S Scott Ave
Newton, IL 62448-1658
Mailing address
1225 E Weisgarber Rd Ste 190
Knoxville, TN 37909-2696
Phone (423) 259-5002
Other practice location 1
900 E Scott St
Olney, IL 62450-2576
Phone (618) 395-1000
Other providers in Newton, IL
- County of Jasper
- County of Jasper
- Crawford Hospital District
- Amy Deel-Hout
- Donna Dhom
- Braley Nichole Dietzen
- Debra Doan
- Lenora Drees
- Jennifer Eaton
- Mary Jo Emmerich
All providers in Newton, IL · Psychiatric/Mental Health Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2026. 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.