DR. PATRICIA KOESTER DICKSON PHD
NPI 1194831305
Psychologist - Clinical in Saint Clair Shores, MI
About Dr. Patricia Koester Dickson Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PATRICIA KOESTER DICKSON PHD (NPI 1194831305) is an individual clinical provider in Saint Clair Shores, Michigan, licensed in Michigan (6301007372) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Patricia Koester Dickson Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Patricia Dickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Clair Shores, MI 48080
- Reassigned Medicare billing, Michigan enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
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 Patricia Dickson's NPI number?
The NPI number for Patricia Dickson is 1194831305. It was assigned to this individual provider in the NPPES registry on August 21, 2006.
Where is Patricia Dickson located?
Patricia Dickson practices at 19900 E 10 Mile Rd Ste 102, Saint Clair Shores, MI 48080. The listed phone number is (586) 776-3366.
What is Patricia Dickson's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Patricia Dickson enrolled in Medicare?
Yes. Patricia Dickson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Patricia Dickson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Dickson reassigns Medicare benefits to Associated Psychologists Plc (St Clair Shores, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patricia Dickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Patricia Dickson accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Patricia Dickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Patricia Dickson was last updated on June 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Patricia Koester Dickson, PHD · NPI 1194831305
Clinical provider in Saint Clair Shores, Michigan. Individual provider, active in the CMS NPPES registry since August 21, 2006.
## Identity
- **NPI:** 1194831305 (Entity type: Individual)
- **Enumerated:** August 21, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 6301007372 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 19900 E 10 MILE RD STE 102, Saint Clair Shores, MI 48080-4412
- **Phone:** (586) 776-3366 · **Fax:** (586) 776-3369
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Associated Psychologists Plc (NPI 1629112420, St Clair Shores, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** June 5, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1194831305) · Data from the CMS NPPES public registry.