Active NPI
Dianne B Webb, PHD
- Psychologist
- East Tawas, MI
National Provider Identifier
1447387709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301007115
- Practice address
- 1200 Tawas Beach Rd
East Tawas, MI 48730 - Phone
- (989) 362-2317
- Fax
- (989) 362-2529
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301007115 | MI | Primary |
Addresses
Primary practice location
1200 Tawas Beach Rd
East Tawas, MI 48730
Mailing address
1200 Tawas Beach Rd
East Tawas, MI 48730
Phone (989) 362-2317
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2003 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447387709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 TAWAS BEACH RD",
"city": "EAST TAWAS",
"state": "MI",
"postal_code": "48730",
"telephone_number": "989-362-2317",
"fax_number": "989-362-2529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 TAWAS BEACH RD",
"city": "EAST TAWAS",
"state": "MI",
"postal_code": "48730",
"telephone_number": "989-362-2317",
"fax_number": "989-362-2529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBB",
"first_name": "DIANNE",
"middle_name": "B",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301007115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Tawas, MI
- Tawas Bay Optical Inc.
- Andrew Rance Vanvlerah
- David Wajda, BEHAVIOR TECHNICIAN
- Lindsey Walters, BEHAVIOR TECHNICIAN
- Jamie M Watkins, BEHAVIOR TECHNICIAN
- Whalen Counseling & Consultation
- Danielle Whalen, LMSW-CLINICAL
- William C Loop MD PHD
- Madison Alane Williams, BT
- Marah Wisniewski, BEHAVIOR TECHNICIAN
Sources for this page
- 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.