Dallas Daniel Duchnick, BS BEHAVIORAL HEALTH

Primary specialty

Rehabilitation CounselorTaxonomy code 225C00000X

Practice address

29201 Heathercliff Rd
#149
Malibu, CA 90265-4146

Phone

(888) 456-2528

NPI assigned

Feb 10, 2015

Last updated

Feb 10, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423526400000",
    "number": "1659762805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 HEATHERCLIFF RD",
            "address_2": "#149",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654146",
            "telephone_number": "888-456-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 HEATHERCLIFF RD",
            "address_2": "#149",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654146",
            "telephone_number": "888-456-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCHNICK",
        "first_name": "DALLAS",
        "middle_name": "DANIEL",
        "credential": "BS BEHAVIORAL HEALTH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Boehmer Dittrich, R.N. N.P.
• Ronald M. Doctor, PH.D.
• Fiona Doolan, NT
• Victor Dorodny, MD
• Dr Dorodny Inc
• Micah Dyer, AMFT, ALPCC
• Maria Dylan
• Danielle Nicole Eberle, B.A. PSYCHOLOGY
• Educational Medical Solutions LLC
• Edwards Malibu

• Rehabilitation Counselor in Malibu, CA
• Providers in Malibu, CA by specialty
• Rehabilitation Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.