NPIMap

Organization Active NPI

Nancy Dolin Dietrich, PH.D., LLC

  • Clinical Psychologist
  • Birmingham, MI
National Provider Identifier
1538430640
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301012590 Issued in MI
Legal business name
NANCY DOLIN DIETRICH, PH.D., LLC
Practice address
999 Haynes St
Suire 300
Birmingham, MI 48009-6712
Phone
(248) 723-7111
NPI assigned
Jan 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Dr. Nancy Dolin Dietrich, PH.D.
Title
Licensed Psychologist
Phone
(248) 723-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301012590 MI Primary

Addresses

Primary practice location

999 Haynes St
Suire 300
Birmingham, MI 48009-6712

Mailing address

999 Haynes St
Suire 300
Birmingham, MI 48009-6712
Phone (248) 723-7111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1538430640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST",
            "address_2": "SUIRE 300",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096712",
            "telephone_number": "248-723-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST",
            "address_2": "SUIRE 300",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096712",
            "telephone_number": "248-723-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY DOLIN DIETRICH, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "DIETRICH",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "DOLIN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-723-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.