Samantha Christina Dimercurio

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2000 E Oakley Park Rd # 101-B
Commerce Township, MI 48390-1500

Phone

(248) 387-5200

NPI assigned

Jun 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1104661529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17110 WILLIAMS DR",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484429187",
            "telephone_number": "947-239-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E OAKLEY PARK RD # 101-B",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483901500",
            "telephone_number": "248-387-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMERCURIO",
        "first_name": "SAMANTHA",
        "middle_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devoire Counseling PLLC
• Sudipta Dhar, MD
• Gurneet Dhillon
• Teresa Diehl
• Nancy Dijanni, CNP
• Cynthia Diskin, CNP
• Randi Dockery, PHARMD
• Patricia Doehler, OTR
• Laura Barrett Donlan, P.T.
• Deanna Maria Dorantes, MD

• Behavior Technician in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.