Trisha Diller-Zylstra

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361007718 Issued in MI

Practice address

2127 University Park Dr Ste 300
Okemos, MI 48864-5928

Phone

(248) 469-8918

NPI assigned

Jan 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1376183749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 NATANNA DR",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488437381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 UNIVERSITY PARK DR STE 300",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645928",
            "telephone_number": "248-469-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLER-ZYLSTRA",
        "first_name": "TRISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301018196",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361007718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ana Mayari Diaz, LMSW
• Marissa Dibello
• Robert Henry Digby, M.D.
• Ruby Dills
• Sharon Ann Dimmer, PSYD
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• Discovery Through Movement, LLC
• Anne Michelle Disney, OTR/L

• Psychologist in Okemos, MI
• Providers in Okemos, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.