Divine Intervention Behavior Therapy LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVINE INTERVENTION BEHAVIOR THERAPY LLC

Doing business as

Divine Intervention behavior Therapy

Practice address

600 W Germantown Pike Ste 400
Plymouth Meeting, PA 19462-1046

Phone

(267) 410-0517

NPI assigned

Mar 16, 2022

Organization subpart

No

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

Authorized official

Name

Belinda Bates, MS, LBSC, MT

Title

Owner

Phone

(267) 410-0517

Specialties & licenses 1

Addresses

Other names 1

• Divine Intervention behavior Therapy Doing business as

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1205584463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 COWPATH RD STE 382",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194461586",
            "telephone_number": "267-410-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W GERMANTOWN PIKE STE 400",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621046",
            "telephone_number": "267-410-0517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE INTERVENTION BEHAVIOR THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-410-0517",
        "authorized_official_credential": "MS, LBSC, MT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine Intervention behavior Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Divine Intervention behavior Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Dipasquale, MS CCC-SLP
• Julie R Diperstein, CRNA
• Karyn Dishman, RN
• Leanne Distilo
• Janet Ditroia
• Anthony Dix
• Michelle Dixon-Jones
• Keisha Dixon-Wilson, RN
• Keeia Dixon
• Kevin Dixon

• Community/Behavioral Health Agency in Plymouth Meeting, PA
• Providers in Plymouth Meeting, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.