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JOHN AZAR-DICKENS, PH.D.,PC
NPI 1093026601
Psychologist - Clinical in Rome, GA

Active since June 29, 2010
109 JOHN MADDOX DR NW, ROME, GA 30165(706) 232-6743 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Azar-dickens, Ph.d.,pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN AZAR-DICKENS, PH.D.,PC (NPI 1093026601) is a healthcare organization registered as a clinical in Rome, Georgia and active in the NPI registry since June 2010. The organization lists John Azar-dickens, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1093026601
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJOHN AZAR-DICKENS, PH.D.,PC
Location Address109 JOHN MADDOX DR NWRome, GA 30165-1451
Mailing AddressPo Box 1008Rome, GA 30162-1008 · (706) 232-6743
Phone(706) 232-6743
Organization SubpartNo
Authorized OfficialJohn Azar-dickensLicensed Psychologist · (706) 234-0659
Enumeration DateJune 29, 2010
✔ NPI 1093026601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in GA · 002459
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
109 JOHN MADDOX DR NW, Rome, GA 30165
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Other Identifiers 1

Medicaid00895837JGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUZANNE G. PRATT M.D.
Obstetrics & Gynecology
109 JOHN MADDOX DR NW
ROME, GA 30165
Floyd County (706) 234-0034
LAUREN SORROW LLC
Community/Behavioral Health
109 JOHN MADDOX DR NW
ROME, GA 30165
Floyd County (706) 232-6743

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Azar-Dickens, Ph.D.,pc's NPI number?

The NPI number for John Azar-Dickens, Ph.D.,pc is 1093026601. It was assigned to this organization in the NPPES registry on June 29, 2010.

Where is John Azar-Dickens, Ph.D.,pc located?

John Azar-Dickens, Ph.D.,pc is located at 109 John Maddox Dr NW, Rome, GA 30165. The listed phone number is (706) 232-6743.

What is John Azar-Dickens, Ph.D.,pc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for John Azar-Dickens, Ph.D.,pc was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.