Dion Edwards, PHD LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301008103 Issued in MI

Practice address

124 W Gates
Suite 103
Romeo, MI 48065

Phone

(586) 752-9696

Fax

(586) 752-9157

NPI assigned

Dec 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, 196 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dion.edwards.1@28621.direct.athenahealth.com
• FHIR API: https://api.qualifacts.org/api/fhir/macombfamily/r4/

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.

• Optum Behavioral Care of Colorado, P.C.

  dba Oakland Psychological Clinic of Michigan

  • Clinical Psychologist
  • Bloomfield Hills, MI
  • NPI 1851161285
  Medicare reassignment Care Compare group NPD
• Oakland Psychological Clinic, P.C.

  • Clinical Social Worker
  • Lake Orion, MI
  • NPI 1598952129

  Psychologist

  NPD
• Optum Behavioral Care of Colorado, P.C.

  dba Oakland Psychological Clinic of Michigan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bloomfield Hills, MI
  • NPI 1376300616
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD
• Macomb Family Services, Inc

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1326599036
  NPD (past)
• Macomb Family Services, Inc

  • In Home Supportive Care Agency
  • Bruce TWP, MI
  • NPI 1992239511
  NPD (past)
• Macomb Family Services, Inc.

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1831190701
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386702272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36975 UTICA ROAD",
            "address_2": "SUITE 103",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48036",
            "telephone_number": "586-226-3440",
            "fax_number": "586-226-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W GATES",
            "address_2": "SUITE 103",
            "city": "ROMEO",
            "state": "MI",
            "postal_code": "48065",
            "telephone_number": "586-752-9696",
            "fax_number": "586-752-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DION",
        "credential": "PHD LLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Lynnann Currier
• Michael Joseph Delaura, DDS
• Bethany Anne Delmotte, DPT
• Jennifer Marie Dickson, DPT, OMPT
• Kimberly M Dziadzio, PT
• Claude Wakefield Eggertsen, PH.D.
• Kelsey Everly, OTRL
• Donald W Felstow, PT
• Harry Gee, M.D.
• Amrit Gill

• Clinical Psychologist in Romeo, MI
• Providers in Romeo, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.