Active NPI
Diane Beth Trebilcock, PHD
- Psychologist
- East Lansing, MI
National Provider Identifier
1275631939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301007023
- Practice address
- 2911 Eyde Parkway
Suite 100
East Lansing, MI 48823 - Phone
- (517) 324-1284
- NPI assigned
- Sep 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301007023 | MI | Primary |
Addresses
Primary practice location
2911 Eyde Parkway
Suite 100
East Lansing, MI 48823
Mailing address
2911 Eyde Parkway
Suite 100
East Lansing, MI 48823
Phone (517) 324-1284
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301007023 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diane Trebilcock | Psychologist | Past | Accepting new patients |
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.
-
- Psychologist
- East Lansing, MI
- NPI 1487850343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275631939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2911 EYDE PARKWAY",
"address_2": "SUITE 100",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "48823",
"telephone_number": "517-324-1284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 EYDE PARKWAY",
"address_2": "SUITE 100",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "48823",
"telephone_number": "517-324-1284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREBILCOCK",
"first_name": "DIANE",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301007023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
- Briana Tran
- Quincy Tran, DO
- Daniel Kent Tranberg, PH.D., LICENSED PSYC
- Transforming Together Therapy Services LLC
- Travis Johnson LMFT P.C.
- Clare Sofia Treece
- Trilogy Healthcare of Clinton, LLC (The Willows at East Lansing)
- Mark Joseph Troisi
- Tammy Lynn Trott, MT, DOM, LIC. ACUP
- Alison Lee Trout, LLPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.