DR. DALE A. HICKS (NPI# 1649275421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649275421 |
| Entity Type | Individual |
| Full Name | DR. DALE A. HICKS |
| Credential | PH.D. |
| Practice Address |
15961 N Florida Ave Ste A Lutz FL 33549-8101 |
| Practice Telephone | 8139617544 |
| Practice Fax Number | 8139099038 |
| Mailing Telephone | 8139617544 |
| Mailing Fax Number | 8139099038 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY0002276 | FL | Behavioral Health & Social Service Providers |
| Street Address |
15961 N FLORIDA AVE STE A |
| City | LUTZ |
| State | FL |
| Zip Code | 33549-8101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669750113 | Marcia Susan Hausman | Psychologist | 15961 N Florida Ave, Suite A, Lutz, FL 33549-8101 | 2011-08-02 |
| 1164629168 | William Douglas Anton | Psychologist | 15961 N Florida Ave, Suite A, Lutz, FL 33549-8101 | 2007-07-02 |
| 1982806568 | Ashley Ann Vigil-otero | Psychologist | 15961 N Florida Ave, Suite A, Lutz, FL 33549-8101 | 2007-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659901189 | Keri L Freeman | Counselor | 1550 Michelin Court, Lutz, FL 33549 | 2020-01-23 |
| 1699335794 | Michaela C Elza | Behavior Technician | 18288 Us-41 S, Lutz, FL 33549 | 2019-06-19 |
| 1760923437 | Behavior Modification Solutions Aba, LLC | Behavioral Analyst | 1941 Crape Myrtle Loop, 205, Lutz, FL 33549 | 2017-03-15 |
| 1417497157 | Donna Ford | Counselor | 1511 Michelin Court, Lutz, FL 33549 | 2017-02-28 |
| 1376957985 | Absolute Pharmacy, LLC | Pharmacy | 16011 N. Nebraska Ave, Suite 103, Lutz, FL 33549 | 2014-06-12 |
| 1144568544 | Christine Cook | Speech-Language Pathologist | 16102 N. Florida Ave., Tampa, FL 33549 | 2013-01-21 |
| 1174803001 | Jennifer Marie Martinc | Occupational Therapy Assistant | 16102 N. Florida Avenue, Lutz, FL 33549 | 2011-08-23 |
| 1871741975 | Joseph J. Ferrandino | Counselor | 16120 N. Florida Ave., Lutz, FL 33549 | 2008-09-03 |
| 1588835011 | Priti Nmi Bapna | Dentist | 1528 Land O'lakes Blvd, Suite 101, Lutz, FL 33549 | 2008-03-12 |
| 1831382381 | Denise N Sarco-stipe | Speech-Language Pathologist | 16102 N. Florida Ave, Suite 910, Lutz, FL 33549 | 2007-08-18 |
| Find all providers in zip 33549 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730346792 | Leslie Elaine Ellis | Psychologist | 207 Crystal Grove Blvd, Lutz, FL 33548-6452 | 2008-05-19 |
| 1548430960 | Jacquelyn Erlene Flood | Psychologist | 262 Crystal Grove Blvd, Lutz, FL 33548-6460 | 2008-03-03 |
| 1073603767 | Paul R Mccarthy | Psychologist | 202 Myrtle Ridge Rd, Lutz, FL 33549-5628 | 2006-10-13 |
| 1912476094 | Juilian Michael-townsley Bass | Psychologist | 17734 Hunting Bow Cir Ste 101, Lutz, FL 33558-5383 | 2018-11-18 |
| 1003097312 | Aarti Mathur | Psychologist | 18958 Dale Mabry Hwy N, Suite 102, Lutz, FL 33548-4911 | 2007-11-15 |
| 1457532764 | Isra M Saleh-mohd | Psychologist | 18958 Dale Mabry Hwy N, Suite102, Lutz, FL 33548-4911 | 2007-11-15 |
| 1164629168 | William Douglas Anton | Psychologist | 15961 N Florida Ave, Suite A, Lutz, FL 33549-8101 | 2007-07-02 |
| 1134251770 | Richard Bruce Weinberg | Psychologist | 16120 N Florida Ave, Lutz, FL 33549-6129 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740224 | North Florida Collaborative Therapy | Psychologist | 9652 Morgan Creek Ct, Jacksonville, FL 32222-5808 | 2020-11-05 |
| 1922607381 | Michelle Mcnally | Psychologist | 6945 Halton Park Ln, Coconut Creek, FL 33073-2170 | 2020-10-18 |
| 1427665322 | Salubrious Psychological Services | Psychologist | 865 Nw 208th Cir, Pembroke Pines, FL 33029-1908 | 2020-09-25 |
| 1396351979 | Daniela Oliveira De Medeiros | Psychologist | 111 Majorca Ave # B, Coral Gables, FL 33134-4508 | 2020-09-19 |
| 1235744327 | Lisa Stewart | Psychologist | 13000 Bruce B Downs Blvd Bldg 68, Tampa, FL 33612-4745 | 2020-09-15 |
| 1265047047 | Anissa York | Psychologist | 6760 Congress Ave Apt 203, Boca Raton, FL 33487-1242 | 2020-09-09 |
| 1154935781 | Caressa Alice Slocum | Psychologist | 840 Dr M.l.k. Jr St N, St. Petersburg, FL 33705 | 2020-09-01 |
| 1497365399 | Julia L Sheffler | Psychologist | 1126b Lee Ave, Tallahassee, FL 32303-6508 | 2020-08-05 |
| 1801413315 | Steven David Macchione | Psychologist | 328 Nw 97th Ave, Plantation, FL 33324-7068 | 2020-06-30 |
| 1578180154 | Lory Jean Reyes | Psychologist | 1180 N Federal Hwy Ph 1608, Fort Lauderdale, FL 33304-1470 | 2020-06-30 |
| 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.