GARY L DICKINSON (NPI# 1093760233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093760233 |
| Entity Type | Individual |
| Full Name | GARY L DICKINSON |
| Credential | PHD |
| Practice Address |
2218 Derdall Dr Brookings SD 57006-2851 |
| Mailing Address |
791 E Lake Hendricks Dr Hendricks MN 56136-1204 |
| Practice Telephone | 6052717690 |
| Practice Fax Number | 6054791349 |
| Mailing Telephone | 6052717690 |
| Mailing Fax Number | 6054791349 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2012-02-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 231 | SD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 893248400 | 05 | |
| SD | 6551103 | 05 | |
| SD | WELLMARK BLUECROSS | 4993550 | 01 |
| Street Address |
2218 DERDALL DR |
| City | BROOKINGS |
| State | SD |
| Zip Code | 57006-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811423874 | Spencer Laufmann | Physical Therapist | 2218 Derdall Dr, Brookings, SD 57006-2851 | 2017-05-11 |
| 1831545599 | Morgan Blasius | Physical Therapist | 2218 Derdall Dr, Brookings, SD 57006-2851 | 2016-05-11 |
| 1063898971 | Jordan Jacobsen | Physical Therapist | 2218 Derdall Dr, Brookings, SD 57006-2851 | 2015-08-03 |
| 1881922078 | Matthew Howard Jones | Chiropractor | 2218 Derdall Dr, Brookings, SD 57006-2851 | 2009-11-26 |
| 1356510812 | Hungerford Chiropractic PC | Chiropractor | 2218 Derdall Dr, Brookings, SD 57006-2851 | 2008-02-28 |
| 1083771083 | Chad Jason Hungerford | Chiropractor | 2218 Derdall Dr, Brookings, SD 57006-2851 | 2007-01-02 |
| 1871657254 | Brienne Torgrude | Physical Therapist | 2218 Derdall Dr, Brookings, SD 57006-2851 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720685845 | Leah Kroeger | Specialist/Technologist | 2820 Stanley J Marshall Center, Brookings, SD 57006 | 2020-10-01 |
| 1619454774 | Alec Edward Weis | Student in an Organized Health Care Education/Training Program | 314 Main Ave Apt 4., Brookings, SD 57006 | 2018-07-22 |
| 1629569066 | Robin Lynn Erz | Counselor | East Central Behavioral Health, 211 4th Street, Brookings, SD 57006 | 2018-05-22 |
| 1982057246 | City of Brookings | Clinic/Center | 310 22nd Avenue, Brookings, SD 57006 | 2016-07-21 |
| 1922413806 | Avera Mckennan | Clinic/Center | 400 2nd Ave, Brookings, SD 57006 | 2014-06-30 |
| 1093157554 | Nathan William Hilbrands | Dentist | 427 8th St S, Brookings, SD 57006 | 2013-07-25 |
| 1992073951 | Andrea Uckert | Counselor | 619 5th Ave Ste 3, Brookings, SD 57006 | 2011-12-06 |
| 1972800100 | Melissa Ann Klemm | Counselor | 1304 Main Ave S, Brookings, SD 57006 | 2011-02-24 |
| 1285873539 | Amy Lynn Osterberg | Counselor | 211 4th St., East Central Mh/cd Center Inc, Brookings, SD 57006 | 2009-02-10 |
| 1114062072 | Kendalls Rexall Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 223 6th St, Brookings, SD 57006 | 2007-02-20 |
| Find all providers in zip 57006 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811465172 | Redwood Coaching and Consulting LLC | Psychologist | 603 Hemlock St Ste 2e, Brookings, OR 97415-9429 | 2018-11-05 |
| 1942573282 | Mickey J Price | Psychologist | 919 7th St, Brookings, OR 97415-9209 | 2012-02-16 |
| 1376698894 | William John Price | Psychologist | 211 Fourth St, Brookings, SD 57006 | 2007-01-24 |
| 1568692739 | Annamaria Anthony | Psychologist | 603 Hemlock St, Ste 2e, Brookings, OR 97415-9429 | 2009-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245730357 | Behavior Care Specialists, Inc | Psychologist | 200 W Pleasant Dr, Pierre, SD 57501-2472 | 2018-02-15 |
| 1568970788 | Daniel Burow Consulting | Psychologist | 1108 W Glen Eagle Cir, Sioux Falls, SD 57108-4122 | 2018-01-22 |
| 1881104859 | Larry Kay Brendtro | Psychologist | 27843 469th Avenue, Lennox, SD 57039 | 2017-10-04 |
| 1487174371 | Linda Jo Muise | Psychologist | 408 S Wind St, Flandreau, SD 57028-1740 | 2017-06-22 |
| 1497204937 | Molly Driel Dent | Psychologist | 102 E. Denver Drive, Mission, SD 57555 | 2016-09-26 |
| 1891244489 | Vitality Psychological Services, LLC | Psychologist | 4900 S Minnesota Ave Ste 103, Sioux Falls, SD 57108-2813 | 2016-09-24 |
| 1154772101 | Kyle Babb | Psychologist | 300 S Splitrock Blvd, Brandon, SD 57005-1652 | 2016-06-30 |
| 1215300066 | Darren Jilek | Psychologist | 39218 Prairie Rd, Mellette, SD 57461-5206 | 2015-11-02 |
| 1346634292 | Patricia Iron Shell-hill | Psychologist | 28518 Bia 9, Rosebud, SD 57570-0277 | 2015-03-27 |
| 1770824484 | Ada Ruth Powell | Psychologist | 207 E Capitol Ave Ste 206, Pierre, SD 57501-3159 | 2013-03-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.