Active NPI
Diane Niblick, MA
- Behavior Technician
- Grand Rapids, MI
National Provider Identifier
1326681529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2814 Woodcliff Cir SE
Grand Rapids, MI 49506-3155 - Phone
- (248) 894-9738
- NPI assigned
- Oct 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2814 Woodcliff Cir SE
Grand Rapids, MI 49506-3155
Mailing address
2814 Woodcliff Cir SE
Grand Rapids, MI 49506-3155
Phone (855) 832-6727
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)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merakey Midwest | 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.
-
- Community/Behavioral Health Agency
- Flint, MI
- NPI 1740670454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1326681529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 WOODCLIFF CIR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495063155",
"telephone_number": "855-832-6727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2814 WOODCLIFF CIR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495063155",
"telephone_number": "248-894-9738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIBLICK",
"first_name": "DIANE",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-21",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.