Dr. Daniel Dickson, Ph.D.
Psychologist in Madison, WI. Individual provider (NPI-1).
NPI number1982137147
StatusActive
Last updated in NPPESJan 22, 2021
Details
- NPI
- 1982137147
- Entity type
- Individual (NPI-1)
- Name
- Dr. Daniel Dickson
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2017
- Certification date
- Jan 22, 2021
- Last updated
- Jan 22, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 3462 | WI | Yes |
Practice location
5618 Odana RdMadison, WI 53719-1208
Phone 608-232-3171 · Fax 608-262-9246
Mailing address
7974 Uw Health CtMiddleton, WI 53562-5531
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