SIDNEY DICKSON (NPI# 1881094365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881094365 |
| Entity Type | Individual |
| Full Name | SIDNEY DICKSON |
| Credential | PH.D., ABPP |
| Practice Address |
2990 Legacy Dr Frisco TX 75034-6066 |
| Mailing Address |
1050 Enchanted Rock Dr Allen TX 75013-5042 |
| Practice Telephone | 4698885100 |
| Mailing Telephone | 2148034541 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 31850 | TX | Behavioral Health & Social Service Providers |
| Street Address |
2990 LEGACY DR |
| City | FRISCO |
| State | TX |
| Zip Code | 75034-6066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093769820 | David C. Lo | Physical Medicine & Rehabilitation | 2990 Legacy Dr, Frisco, TX 75034-6066 | 2006-05-19 |
| 1861018285 | Caitlin Boyd | Occupational Therapist | 2990 Legacy Dr, Frisco, TX 75034-6066 | 2020-06-22 |
| 1831715416 | Sofiya Mistry | Physical Therapist | 2990 Legacy Dr, Frisco, TX 75034-6066 | 2020-06-19 |
| 1386288405 | Tina Mae Rice | Clinical Neuropsychologist | 2990 Legacy Dr, Frisco, TX 75034-6066 | 2019-10-31 |
| 1972163053 | Tara Melton | Physical Therapist | 2990 Legacy Dr, Frisco, TX 75034-6066 | 2019-06-19 |
| 1336703545 | Tiffany Leigh Hodges | Speech-Language Pathologist | 2990 Legacy Dr, Frisco, TX 75034-6066 | 2019-04-24 |
| 1780146159 | Shelby Alyse Leffingwell | Physical Therapist | 2990 Legacy Dr, Frisco, TX 75034-6066 | 2019-04-03 |
| 1679049811 | Ashley Ann Morgan | Speech-Language Pathologist | 2990 Legacy Dr, Frisco, TX 75034-6066 | 2018-10-15 |
| 1669972782 | Ashlie Nicole Hawck | Speech-Language Pathologist | 2990 Legacy Dr, Frisco, TX 75034-6066 | 2018-02-15 |
| 1629590997 | Austin Walvoord | Physical Therapist | 2990 Legacy Dr, Frisco, TX 75034-6066 | 2017-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275463 | Chiroconcepts of Frisco North Pllc | Chiropractor | 13108 Dallas Pkwy, Suite 410, Frisco, TX 75034 | 2020-11-06 |
| 1790394625 | Lindsey Wertheim | Nurse Practitioner | 4325 Preston Rd, #300, Frisco, TX 75034 | 2020-07-27 |
| 1154948198 | Walker Plastic Surgery Pllc | Surgery | 12590 Dallas Pkwy, Ste 200, Frisco, TX 75034 | 2020-06-25 |
| 1700425055 | Goldfish Group Inc. | Clinic/Center | 6735 Salt Cedar Way, Building 1, 1039-300, Frisco, TX 75034 | 2020-01-04 |
| 1255979506 | Livelife LLC | Clinic/Center | 8668 John Hickman Parkway, Frisco, TX 75034 | 2019-12-17 |
| 1215581780 | Magnolia Pediatrics | Pediatrics | 2875 Main St. Suite 104, Frisco, TX 75034 | 2019-08-01 |
| 1811555386 | Alexis Deann Rickey | Speech-Language Pathologist | 4300 Cotton Gin Road, Frisco, TX 75034 | 2019-05-30 |
| 1316500952 | Jtma Inc | Pharmacy | 5899 Preston Road, Bldg 6 Ste 602, Frisco, TX 75034 | 2019-04-18 |
| 1194388173 | Amplify Chiropractic, Pllc | Chiropractor | 8250 Gaylord Pkwy, Ste. 3, Room 21, Frisco, TX 75034 | 2019-04-16 |
| 1740742030 | Princy Kurian | Occupational Therapist | Baylor Scott & White Institute for Rehabilitation Dn, Frisco, TX 75034 | 2019-04-04 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144669599 | Marie Dahdah | Clinical Neuropsychologist | 9741 Preston Rd Ste 203, Frisco, TX 75033-2554 | 2013-06-19 |
| 1073753554 | Erin Whitaker Reynolds | Clinical Neuropsychologist | 3800 Gaylord Pkwy Ste 910, Frisco, TX 75034-9419 | 2009-02-24 |
| 1811153109 | Shannon Elizebethann Taylor | Clinical Neuropsychologist | 9555 Lebanon Rd., Suite 902, Frisco, TX 75035 | 2008-08-06 |
| 1386288405 | Tina Mae Rice | Clinical Neuropsychologist | 2990 Legacy Dr, Frisco, TX 75034-6066 | 2019-10-31 |
| 1952840597 | Blossoming Brains Pllc | Clinical Neuropsychologist | 11955 Dallas Pkwy, #400, Frisco, TX 75033-4293 | 2017-02-15 |
| 1720539794 | Kier Bison | Clinical Neuropsychologist | 2990 Legacy Dr, Suite 1124, Frisco, TX 75034-6066 | 2016-10-14 |
| 1629392535 | Candace Michelle Genest | Clinical Neuropsychologist | 7010 Preston Rd, Suite #240, Frisco, TX 75034-5869 | 2010-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375487 | Tara Austin | Clinical Neuropsychologist | 4900 Bagby Ave Apt 819, Waco, TX 76711-0035 | 2020-08-05 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1992330864 | Annelizabeth Robinson Carlew | Clinical Neuropsychologist | 6333 Forest Park Rd 1st Fl Bla.100, Dallas, TX 75390-5461 | 2020-03-11 |
| 1710511753 | Gulf Coast Neuropsychology, Pllc | Clinical Neuropsychologist | 1110 Nasa Pkwy Ste 108c, Houston, TX 77058-3351 | 2020-02-28 |
| 1356988372 | Jennifer Reynolds | Clinical Neuropsychologist | 8005 Canyon Parke Ct, Austin, TX 78726-4029 | 2019-12-09 |
| 1649835216 | Kaleidoscope Counseling and Assessment | Clinical Neuropsychologist | 1705 S Capital of Texas Hwy Ste 130, Austin, TX 78746-6587 | 2019-05-08 |
| 1104392067 | Neuropsychological Services of Texarkana Pllc | Clinical Neuropsychologist | 5411 Plaza Dr Ste E, Texarkana, TX 75503-1667 | 2018-10-18 |
| 1801370184 | Professional Exam Services Inc. | Clinical Neuropsychologist | 2233 E Grauwyler Rd Ste 107, Irving, TX 75061-3239 | 2018-09-21 |
| 1255815072 | Seema Pandya | Clinical Neuropsychologist | 9101 N Central Expy Ste 230, Dallas, TX 75231-6079 | 2018-09-18 |
| 1972097145 | Juliette Galindo | Clinical Neuropsychologist | 1333 Moursund Ave, Psychology/neuropsychology H124, Houston, TX 77030-3405 | 2018-06-20 |
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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.