Individual provider Active NPI

Daniel Lee Dulin, PSY.D.

  • Psychologist
  • Flint, MI
National Provider Identifier
1326135336
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301013031 Issued in MI
Practice address
806 Tuuri PL
Flint, MI 48503-2465
Phone
(810) 767-5750
Fax
(810) 768-7512
NPI assigned
Oct 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301013031 MI Primary

Addresses

Primary practice location

806 Tuuri PL
Flint, MI 48503-2465

Mailing address

6028 Westknoll Dr
Apartment 590
Grand Blanc, MI 48439-5332
Phone (810) 767-5750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180606001993 MI Practitioner - Clinical Psychologist 8729343116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optimum BalanceGroup PAC ID 9739418351, 6 clinicians

Practice addresses (Care Compare)

1220 N Leroy St
Optimum Balance Counseling
Fenton, MI 48430-2760
Phone (810) 771-8969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301013031MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Balance CurrentSince Jul 1, 2024 Accepting new patients
Mott Children's Health Center CurrentSince May 27, 2023 Accepting new patients
RSH Wellness, LLC PastSince Aug 28, 2022 Accepting new patients

Locations

1220 N Leroy St
Fenton, MI 48430
Phone (810) 487-9733

806 Tuuri Pl
Flint, MI 48503
Phone (810) 237-7572

Interoperability endpoints

  • Direct secure messaging: daniel.dulin@mottchc.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326135336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6028 WESTKNOLL DR",
            "address_2": "APARTMENT 590",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395332",
            "telephone_number": "810-767-5750",
            "fax_number": "810-768-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 TUURI PL",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032465",
            "telephone_number": "810-767-5750",
            "fax_number": "810-768-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULIN",
        "first_name": "DANIEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.