DEAN A. DICKERSON, PH.D. (NPI# 1720081367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720081367 |
| Entity Type | Organization |
| Organization Name | DEAN A. DICKERSON, PH.D. |
| Other Organization Name | PSYCHOLOGICAL RESOURCE ASSOCIATES |
| Practice Address |
1627 Oak Ave Ste A Davis CA 95616-1072 |
| Practice Telephone | 5307560555 |
| Practice Fax Number | 5307561368 |
| Mailing Telephone | 5307560555 |
| Mailing Fax Number | 5307561368 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | DR. DEAN AMES DICKERSON (PSYCHOLOGIST/OWNER) |
| Authorized Official Telephone | 5307560555 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PSY6149 | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Psychological Resource Associates | Doing Business As Name - Organization |
| Street Address |
1627 OAK AVE STE A |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-1072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849930 | Judith Manheim Blum | Marriage & Family Therapist | 1627 Oak Ave, Ste A, Davis, CA 95616-1072 | 2005-05-27 |
| 1154655629 | Kelly Ann Brewer | Dentist | 1627 Oak Ave, Suite B, Davis, CA 95616-1072 | 2009-09-30 |
| 1205160819 | Jeanne Brewer | Dentist | 1627 Oak Ave, Suite B, Davis, CA 95616-1072 | 2009-09-29 |
| 1932432994 | Dean Ames Dickerson | Psychologist | 1627 Oak Ave, Suite A, Davis, CA 95616-1072 | 2009-09-09 |
| 1780898429 | Kent B. Hart | Psychiatry & Neurology | 1627 Oak Ave, Ste. C, Davis, CA 95616-1072 | 2007-05-10 |
| 1528112380 | Ucdavis Medical Center | Social Worker | 1627 Oak Ave, Davis, CA 95616-1072 | 2007-01-22 |
| 1760580153 | Janet K Perkins | Marriage & Family Therapist | 1627 Oak Ave, A, Davis, CA 95616-1072 | 2006-09-20 |
| 1164428686 | Marta Induni | Marriage & Family Therapist | 1627 Oak Ave, Ste A, Davis, CA 95616-1072 | 2005-06-21 |
| 1568467066 | Rory G Osborne | Psychologist | 1627 Oak Ave, Ste A, Davis, CA 95616-1072 | 2005-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738755 | Stewart E Teal Eva Peters Hunting & Jerry L Plummer Ptr | Psychologist | 2055 Anderson Rd, Davis, CA 95616-0672 | 2005-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205455250 | Vladimir Anoyan | Psychologist | 376 Amherst Dr Apt A, Burbank, CA 91504-4220 | 2020-04-09 |
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| 1841845716 | Jonathan Pappas Marriage Family Therapy Inc. | Psychologist | 100 E Thousand Oaks Blvd Ste 326, Thousand Oaks, CA 91360-5713 | 2019-08-07 |
| 1710547690 | The Institute for Professional Parenting (tipp) | Psychologist | 15650 Devonshire Street, Suite 210-212, Granada Hills, CA 91344 | 2019-06-13 |
| 1528574019 | Jori Adler Marriage & Family Therapy Prof. Corp. | Psychologist | 3846 Lyceum Ave, Los Angeles, CA 90066-4125 | 2017-12-19 |
| 1609396472 | Rosanne Miranda | Psychologist | 3500 Barranca Pkwy Ste 305, Irvine, CA 92606-8232 | 2017-06-22 |
| 1972055655 | Richard Linares | Psychologist | 270 W 5th St, Oxnard, CA 93030-7107 | 2016-10-28 |
| 1912397787 | Operation:i.v.,inc | Psychologist | 1000 Town Center Dr Ste 300, Oxnard, CA 93036-1117 | 2015-01-30 |
| 1427486133 | Apex Recovery and Wellness, A Professional Corp. | Psychologist | 36 Quail Ct Ste 100, Walnut Creek, CA 94596-5514 | 2013-10-16 |
| 1154768307 | Redwood Psychology Center, Inc. | Psychologist | 709 Davis St, Santa Rosa, CA 95401-4767 | 2013-05-29 |
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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.