Diane Trebilcock

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301007023 Issued in MI

Legal business name

DIANE TREBILCOCK

Practice address

2394 Burcham Dr
East Lansing, MI 48823-7242

Phone

(517) 449-0043

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Diane B Trebilcock, PHDNPI 1275631939

Title

Psychologist

Phone

(517) 449-0043

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diane Beth Trebilcock, PHD

  • Psychologist
  • East Lansing, MI
  • NPI 1275631939
  NPD (past) Authorized official

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1487850343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2394 BURCHAM DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237242",
            "telephone_number": "517-449-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2394 BURCHAM DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237242",
            "telephone_number": "517-449-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE TREBILCOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "TREBILCOCK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "517-449-0043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301007023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Dewey, OWNER/COLLECTOR
• Joseph Edward Dewitt, D.O.
• Erik Daniel Deyoung, D.D.S., M.S.
• Gurmail Singh Dhaliwal, M.D
• Maninderpal Singh Dhillon, D.O.
• Elliana Diaz
• Arianna Charae Dickason
• Scott Carver Dickinson, DDS
• Marcia Anne Diedrich, SLP
• Wilfred Joseph Dietrich, PTA

• Psychologist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.