Individual provider Active NPI

Dawn M Goldstein, PMHNPBC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ypsilanti, MI
National Provider Identifier
1063813889
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704161955 Issued in MI
Practice address
300 W Michigan Ave Ste 320N
Ypsilanti, MI 48197-5443
Phone
(734) 879-1378
Fax
(734) 879-1390
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704161955 MI Primary

Addresses

Primary practice location

300 W Michigan Ave Ste 320N
Ypsilanti, MI 48197-5443

Mailing address

501 N River St
Ypsilanti, MI 48198-2818
Phone (734) 879-1378

Other names 1

  • Dawn M Harrison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190607000728 MI Practitioner - Nurse Practitioner 1254693526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arizona College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 W Michigan Ave
Suite 320N
Ypsilanti, MI 48197-5443
Phone (734) 879-1378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4704161955MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Street Wellness Center LLC Psychiatric/Mental Health CurrentSince Aug 9, 2022 Accepting new patients

Locations

119 N Huron St
Ypsilanti, MI 48197

300 W Michigan Ave
Ste 320N
Ypsilanti, MI 48197

105 Pearl St
Ypsilanti, MI 48197
Phone (734) 275-3955

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1063813889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N RIVER ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481982818",
            "telephone_number": "734-879-1378",
            "fax_number": "734-879-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MICHIGAN AVE STE 320N",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481975443",
            "telephone_number": "734-879-1378",
            "fax_number": "734-879-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "PMHNPBC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704161955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "HARRISON",
            "middle_name": "M",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.