Active NPI
Dianne L Hashim-Amerson, TLLP
- Clinical Psychologist
- Taylor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6362009958
- 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
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Psychological Services | Clinical | Current | Accepting new patients |
| Safe Wellness Center PLLC | Current | 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.
-
- Internal Medicine Physician
- Dearborn, MI
- NPI 1538847249
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.