Individual provider Active NPI

Dianne L Hashim-Amerson, TLLP

  • Clinical Psychologist
  • Taylor, MI
National Provider Identifier
1346070570
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6362009958 Issued in MI
Practice address
20900 Eureka Rd FL 9
Taylor, MI 48180
Phone
(734) 785-7705
NPI assigned
Aug 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6362009958 MI Primary

Addresses

Primary practice location

20900 Eureka Rd FL 9
Taylor, MI 48180

Mailing address

3134 Willow St
Dearborn, MI 48124-4327
Phone (313) 618-0998

Other practice location 1

1135 W University Dr Ste 445
Rochester, MI 48307-1897
Phone (248) 989-9903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Psychological Services Clinical CurrentSince Aug 1, 2024 Accepting new patients
Safe Wellness Center PLLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

4520 Firestone St
Dearborn, MI 48126
Phone (313) 436-0043

23302 W Warren St
Dearborn Hts, MI 48127
Phone (313) 423-5878

1135 W University Dr
Ste 445
Rochester Hills, MI 48307
Phone (248) 413-5027

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1346070570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3134 WILLOW ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244327",
            "telephone_number": "313-618-0998",
            "fax_number": "313-518-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20900 EUREKA RD FL 9",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "48180",
            "telephone_number": "734-785-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 W University Dr Ste 445",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MI",
            "postal_code": "483071897",
            "country_code": "US",
            "telephone_number": "248-989-9903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASHIM-AMERSON",
        "first_name": "DIANNE",
        "middle_name": "L",
        "credential": "TLLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6362009958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

Verify at the official NPI Registry.