Organization Active NPI

Dreamworks Behavioral Health Services LLC

  • Group Psychotherapy Psychologist
  • Detroit, MI
National Provider Identifier
1912596958
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
DREAMWORKS BEHAVIORAL HEALTH SERVICES LLC
Practice address
16147 Meyers Rd
Detroit, MI 48235-4108
Phone
(248) 469-9422
NPI assigned
Jan 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Authorized official

Name
Tyeasha Williams, M.ED., BCBA, LBANPI 1508304445
Title
Clinical Director
Phone
(248) 469-9422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X Primary

Addresses

Primary practice location

16147 Meyers Rd
Detroit, MI 48235-4108

Mailing address

17554 Tracey St
Detroit, MI 48235-2634
Phone (248) 469-9422

National Provider Directory

National Provider Directory
Tax ID family
Dreamworks Behavioral Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1912596958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17554 TRACEY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352634",
            "telephone_number": "248-469-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16147 MEYERS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482354108",
            "telephone_number": "248-469-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMWORKS BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TYEASHA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "248-469-9422",
        "authorized_official_credential": "M.ED., BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.