Diversified Behavioral Health Solutions

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIVERSIFIED BEHAVIORAL HEALTH SOLUTIONS

Practice address

309 McMorran Blvd
Port Huron, MI 48060-3807

Phone

(734) 260-0707

NPI assigned

May 14, 2021

Organization subpart

No

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

Authorized official

Name

Eddia McDade, PHD

Title

Owner/ Clinical Director

Phone

(734) 260-0707

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1245804244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 LINDSAY LN",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480607780",
            "telephone_number": "734-260-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MCMORRAN BLVD",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603807",
            "telephone_number": "734-260-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED BEHAVIORAL HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "MCDADE",
        "authorized_official_first_name": "EDDIA",
        "authorized_official_title_or_position": "OWNER/ CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "734-260-0707",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Dillingham
• Madison Dillon, PMHNP
• Erin Dimambro, PA-C
• Kelly D Distelrath, LLP
• Rachel Distelrath, FNP-BC
• Patricia Louise Dixon
• Sharon Ruth Doan, M.A., CCC-A
• Sarah Dobrowolski, LMSW
• Nicholas Dobson
• Kerissa Donaldson, LLMSW

• Community/Behavioral Health Agency in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.