DIXON F SPIVY MD, LLC (NPI# 1396944807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396944807 |
| Entity Type | Organization |
| Organization Name | DIXON F SPIVY MD, LLC |
| Practice Address |
938 W Nelson St Chicago IL 60657-6704 |
| Practice Telephone | 7738830200 |
| Practice Fax Number | 7738830090 |
| Mailing Telephone | 7738830200 |
| Mailing Fax Number | 7738830090 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-19 |
| Authorized Official Name | DR. DIXON FLEMON SPIVY (PSYCHIATRIST) |
| Authorized Official Telephone | 7738830200 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
938 W NELSON ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-6704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396858296 | Joseph Thomas Mason | Psychiatry & Neurology | 938 W Nelson St, 3rd Floor, Chicago, IL 60657-6704 | 2006-08-16 |
| 1609488790 | Lizbeth Montes | Social Worker | 938 W Nelson St, Chicago, IL 60657-6704 | 2020-08-19 |
| 1700407293 | Maria Laura Pappa | Psychologist | 938 W Nelson St, Chicago, IL 60657-6704 | 2020-05-06 |
| 1316589062 | Kevin Carrion | Psychologist | 938 W Nelson St, Chicago, IL 60657-6704 | 2019-10-15 |
| 1396393302 | Isabel Hickerson | Social Worker | 938 W Nelson St, Chicago, IL 60657-6704 | 2019-09-03 |
| 1245888718 | Jenessa Hadzic | Social Worker | 938 W Nelson St, Chicago, IL 60657-6704 | 2019-08-28 |
| 1952961310 | Laura Applebaum | Social Worker | 938 W Nelson St, Chicago, IL 60657-6704 | 2019-06-18 |
| 1629534904 | Ashley Marie Perez | Social Worker | 938 W Nelson St, Chicago, IL 60657-6704 | 2019-02-12 |
| 1619470622 | Ana Cecilia Aguirre | Counselor | 938 W Nelson St, Chicago, IL 60657-6704 | 2018-03-15 |
| 1952824252 | Carrie Vasquez | Social Worker | 938 W Nelson St, Chicago, IL 60657-6704 | 2017-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714294 | Kaitlin E Keenan | Psychiatry & Neurology | 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 | 2020-06-11 |
| 1285195594 | Niccolo Emanuele Mencacci | Psychiatry & Neurology | 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 | 2019-03-28 |
| 1497216865 | Juan Pablo Ospina Botero | Psychiatry & Neurology | 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443 | 2019-03-28 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1124526272 | Neurology Clinic of Chicago, LLC | Psychiatry & Neurology | 4909 W Division St Ste 302, Chicago, IL 60651-3161 | 2018-01-23 |
| 1538514120 | Kathleen Mary Gorman | Psychiatry & Neurology | 225 E Chicago Avenue, Chicago, IL 60611 | 2016-05-02 |
| 1396190203 | Lauren Brandes | Psychiatry & Neurology | 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 | 2016-04-28 |
| 1366838708 | Tresa Elizabeth Zacharias | Psychiatry & Neurology | Northwestern University, 710 N. Lake Shore Drive, Chicago, IL 60611 | 2015-04-13 |
| 1588059570 | Neena R Cherayil | Psychiatry & Neurology | 259 E Erie St Fl 19, Chicago, IL 60611-2987 | 2015-04-06 |
| 1851782783 | Jennifer Ann Smith | Psychiatry & Neurology | 240 East Huron Street, Mcgaw Pavilion, Suite 1-203, Office of Graduate Medical Education, Chicago, IL 60611 | 2015-02-13 |
| Find all providers in CHICAGO | ||||
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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.