DR. JOHN AZAR-DICKENS PH.D.
NPI 1104984103
Psychologist - Clinical in Rome, GA

Active since December 04, 2006
106 E 5TH AVE, ROME, GA 30161(706) 232-6743(706) 232-8050 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. John Azar-dickens Ph.d. NPPES

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

DR. JOHN AZAR-DICKENS PH.D. (NPI 1104984103) is an individual clinical provider in Rome, Georgia, licensed in Georgia (2459) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1104984103
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JOHN AZAR-DICKENSCredential: PH.D.
Location Address106 E 5TH AVERome, GA 30161-3128
Mailing AddressPo Box 6206Rome, GA 30162-6206 · (706) 232-6743 · Fax (706) 232-8050
Fax(706) 232-8050
Sole ProprietorYes
Enumeration DateDecember 4, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1104984103 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 · 2459
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.

106 E 5TH AVE, Rome, GA 30161

Other Names 1

Former Name (1)Dr. John Dickens Ph.d.

Other Identifiers 1

Medicaid00895837GA

Other Providers at the Same Location NPPES 5

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

Counselor (Professional)
106 E 5TH AVE
ROME, GA 30161
Psychologist
106 E 5TH AVE
ROME, GA 30161
Counselor (Mental Health)
106 E 5TH AVE
ROME, GA 30161
Psychologist (Clinical)
106 E 5TH AVE
ROME, GA 30161
Counselor (Mental Health)
106 E 5TH AVE
ROME, GA 30161

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's NPI number?

The NPI number for John Azar-dickens is 1104984103. It was assigned to this individual provider in the NPPES registry on December 4, 2006. The provider is also known as Dr. John Dickens Ph.D..

Where is John Azar-dickens located?

John Azar-dickens practices at 106 E 5th Ave, Rome, GA 30161. The listed phone number is (706) 232-6743.

What is John Azar-dickens'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 was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.