Diablo Behavioral Healthcare

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A104000 Issued in CA

Legal business name

DIABLO BEHAVIORAL HEALTHCARE

Doing business as

dbh Blackhawk TMS Center

Practice address

4185 Blackhawk Plaza Cir
Suite 210
Danville, CA 94506-4694

Phone

(925) 648-2650

Fax

(925) 648-2530

NPI assigned

Apr 26, 2007

Last updated

Jul 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Shryer

Title

Business Manager

Phone

(925) 648-4800

Specialties & licenses 11

Addresses

Other identifiers 1

Other names 1

• dbh Blackhawk TMS Center Doing business as

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rhea Brandon, LEP

  • School Psychologist
  • Danville, CA
  • NPI 1700072501
  NPD (past)
• Rochelle Ivy Frank, PHD

  • Clinical Psychologist
  • Danville, CA
  • NPI 1073730628
  NPD (past)
• Ronel Lee Lewis, MD

  • Psychiatry Physician
  • Danville, CA
  • NPI 1558588129
  NPD (past)
• Alison R. Potter, M.D.

  • Psychiatry Physician
  • Berkeley, CA
  • NPI 1548357361
  NPD (past)
• William Jon Shryer, MSW, LCSW, DCSW

  • Clinical Social Worker
  • Danville, CA
  • NPI 1902023518
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1174743694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1613",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945266613",
            "telephone_number": "925-648-4800",
            "fax_number": "925-648-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 BLACKHAWK PLAZA CIR",
            "address_2": "SUITE 210",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064694",
            "telephone_number": "925-648-2650",
            "fax_number": "925-648-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABLO BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "SHRYER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "925-648-4800"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 14928",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "LEP 2801",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 9942",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 41716",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C29074",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C32821",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A104000",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "C32821",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A104000",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 10617",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 2994",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EDD",
            "identifier": "40428203",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dbh Blackhawk TMS Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Deville
• Fedra Deyhim
• Dga Chiropractic and Wellness
• Murali Dharan, MD
• Jatinder S Dhillon, MD
• Joslyn Diaz
• Dino Javaheri DDS Inc
• Discovery Counseling Center of the San Ramon Valley, Inc. (Discovery Counseling Center)
• Discovery Practice Management, Inc (Center For Discovery, Danville)
• William Dodge, PHD

• Child & Adolescent Psychiatry Physician in Danville, CA
• Providers in Danville, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.