Active NPI
Rebecca Anneliese Dalman, MA
- Psychologist
- Grand Haven, MI
National Provider Identifier
1619666724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361007791
- Practice address
- 321 Fulton Ave
Grand Haven, MI 49417-1231 - Phone
- (616) 842-4772
- NPI assigned
- May 4, 2023
- 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 | 6361007791 | MI | Primary |
Addresses
Primary practice location
321 Fulton Ave
Grand Haven, MI 49417-1231
Mailing address
321 Fulton Ave
Grand Haven, MI 49417-1231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361007791 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683158400000",
"number": "1619666724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 FULTON AVE",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494171231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 FULTON AVE",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494171231",
"telephone_number": "616-842-4772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALMAN",
"first_name": "REBECCA",
"middle_name": "ANNELIESE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-04",
"last_updated": "2023-05-04",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361007791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.