DBT Gym LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DBT GYM LLC

Practice address

25430 Southfield Rd # A102
Southfield, MI 48075-1957

Phone

(248) 763-2399

NPI assigned

Jan 16, 2023

Organization subpart

No

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

Authorized official

Name

Shayla Glass, LLP

Title

Therapist

Phone

(248) 763-2399

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1598470320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25430 SOUTHFIELD RD # A102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25430 SOUTHFIELD RD # A102",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751957",
            "telephone_number": "248-763-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBT GYM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "SHAYLA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "248-763-2399",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine N Dawood, PA-C
• Ejaz Ali Dawson, MD
• Tiffany Dawson
• Jennifer Day
• Linda Elizabeth Day
• Katelyn De Lara, MD
• Alycia Dean
• Flora Ann Dean, MD
• George A Dean, M.D.
• Monizue Dean, LMT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Southfield, MI
• Providers in Southfield, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.