Michael Dillenburg, MS, CADC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

591 Issued in WI

Practice address

4325 S 60TH St
Greenfield, WI 53220-3508

Phone

(414) 546-0467

Fax

(414) 546-0678

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1801819552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 N JANACEK RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530456102",
            "telephone_number": "262-641-9050",
            "fax_number": "262-641-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 S 60TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203508",
            "telephone_number": "414-546-0467",
            "fax_number": "414-546-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLENBURG",
        "first_name": "MICHAEL",
        "credential": "MS, CADC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43558400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Devries, COTA
• Santo De Jesus Diaz, M.D.
• Katherine A Dibb, CSAC, LPC
• David P Dick, DPT
• Ellen Mary Diedrich, LPC
• Discovery & Recovery Clinic,Inc.
• David Richard Dix, PHARMD
• Mitchell Dobberpuhl, M.D.
• Jennifer Grace Doerfer, NP-C
• Amy Lynn Doherty, PA-C

• Addiction (Substance Use Disorder) Counselor in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.