DR. KIMBERLY NOELLE DICKSON (NPI# 1285119768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285119768 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY NOELLE DICKSON |
| Credential | PSYD |
| Practice Address |
145 N 2nd Ave Ste 8 Oakdale CA 95361-3064 |
| Practice Telephone | 2098409696 |
| Mailing Telephone | 2098409696 |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
30316 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2827 Concord Blvd, Concord, CA 945192608 | 2098409696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811210032 | Kimberly Dickson | Pharmacist | 1544 Crescent Road, Clifton Park, NY 12065 | 2010-03-02 |
| 1437750395 | Kimberly Dickson | Physical Therapist | 6129 Airport Hotels Blvd, Louisville, KY 40213-3288 | 2020-11-05 |
| 1417442476 | Kimberly J Dickson | Registered Nurse | 319 W Water St, Elmira, NY 14901-2914 | 2018-06-22 |
| 1114362308 | Kimberly K. Dickson | Dietitian, Registered | 1575 I-30, Mesquite, TX 75150-6905 | 2013-05-02 |
| Street Address |
145 N 2ND AVE STE 8 |
| City | OAKDALE |
| State | CA |
| Zip Code | 95361-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427453190 | Janet Kennedy Barretta | Marriage & Family Therapist | 210 South Sierra Suite 209 Serenity Heart Counseling Se, Oakdale, CA 95361 | 2014-10-23 |
| 1629483946 | Gina Maria Womack | Physical Therapy Assistant | 1570 E. F Street # N, Oakdale, CA 95361 | 2014-06-25 |
| 1457636946 | Eugene Awuah | Pharmacist | 2048 Royal Ascot Way, Oakdale, CA 95361 | 2011-10-15 |
| 1679852669 | Shiow-yan Chen | Pharmacist | 1449 East F Street Suite 102, Oakdale, CA 95361 | 2011-08-09 |
| 1659592475 | David Michael Meyers | Chiropractor | 715 West F Street, Oakdale, CA 95361 | 2007-05-01 |
| 1043372691 | Joanne Mccartney | Nurse Practitioner | 700 Laurel Avenue, Oakdale, CA 95361 | 2006-12-13 |
| 1457445587 | Suzanne Streater | Marriage & Family Therapist | 145 North Second Avenue, Suite 8, Oakdale, CA 95361 | 2006-10-03 |
| 1689786972 | Christina Louise Tourtlotte | Dentist | 1473 East G St, Ste C, Oakdale, CA 95361 | 2006-08-31 |
| 1750395042 | Janet R Busic | Psychologist | 7248 Gold Run Dr, Oakdale, CA 95361 | 2006-07-29 |
| 1609807346 | Consuelos S. Dizon | Anesthesiology | Oak Valley Hospital, 350 South Oak Ave., Oakdale, CA 95361 | 2006-07-05 |
| Find all providers in zip 95361 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275819914 | Dynamic Path Psychological Services, LLC | Psychologist | 6230 10th St N Ste 210, Oakdale, MN 55128-6158 | 2011-10-26 |
| 1467501031 | Katherine K Thomas | Psychologist | 980 Inwood Ave N, Oakdale, MN 55128-6625 | 2007-01-10 |
| 1912987579 | William Randall Kreusser | Psychologist | 1099 Helmo Ave N, Suite 250, Oakdale, MN 55128-6033 | 2006-01-19 |
| 1093288227 | Amanda Salazar, Inc | Psychologist | 1563 Montauk Hwy, Oakdale, NY 11769-1322 | 2019-01-10 |
| 1902379134 | Amanda Salazar | Psychologist | 1563 Montauk Hwy, Oakdale, NY 11769-1322 | 2019-01-10 |
| 1649729492 | Benjamin Mahmoud Rastegari | Psychologist | 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | 2016-09-21 |
| 1730516337 | Sarah Beth Beckham | Psychologist | 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | 2013-09-27 |
| 1033486964 | Julia Louise Conkel Ziebell | Psychologist | 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | 2011-11-21 |
| 1730486226 | Nassau-suffolk Psychology PC | Psychologist | 1563 Montauk Hwy, Oakdale, NY 11769-1322 | 2011-02-17 |
| 1962737569 | Michael S Wilson | Psychologist | 7066 Stillwater Blvd N, Oakdale, MN 55128-3937 | 2009-10-15 |
| Find all providers in OAKDALE | ||||
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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.