Active NPI
Diamond Shillingburg
- Behavior Analyst
- Dearborn, MI
National Provider Identifier
1124757810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 19853 Outer Dr Ste 110
Dearborn, MI 48124-2044 - Phone
- (313) 406-5056
- NPI assigned
- Jun 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
19853 Outer Dr Ste 110
Dearborn, MI 48124-2044
Mailing address
19853 Outer Dr Ste 110
Dearborn, MI 48124-2044
Other practice location 1
14680 Newburgh Rd
Livonia, MI 48154-5034
Phone (844) 969-0252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Network Behavioral Health Services | Current | Accepting new patients |
Locations
14680 Newburgh Rd
Livonia, MI 48154
Phone (616) 558-5021
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.
-
- Mental Illness Community Based Residential Treatment Facility
- Nunica, MI
- NPI 1043295934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747008000000",
"number": "1124757810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19853 OUTER DR STE 110",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19853 OUTER DR STE 110",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481242044",
"telephone_number": "313-406-5056"
}
],
"practiceLocations": [
{
"address_1": "14680 Newburgh Rd",
"address_purpose": "LOCATION",
"city": "Livonia",
"state": "MI",
"postal_code": "481545034",
"country_code": "US",
"telephone_number": "844-969-0252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHILLINGBURG",
"first_name": "DIAMOND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2025-05-12",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.