Dipla Support Care Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

DIPLA SUPPORT CARE SERVICES

Practice address

316 Webster St
Lewiston, ME 04240-4854

Phone

(857) 500-9438

NPI assigned

Mar 15, 2025

Last updated

Mar 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diva Wilson

Title

Chief Executive Officer

Phone

(857) 500-9438

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1741996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741996800000",
    "number": "1932909306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 WEBSTER ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042404854",
            "telephone_number": "857-500-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 WEBSTER ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042404854",
            "telephone_number": "857-500-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIPLA SUPPORT CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DIVA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "857-500-9438"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica L Diamond, PMHNP
• John D Dickens Jr., MD, MPH, SFHM
• Danielle Dill
• Dominique Dionne, COTA/L
• Luc Jasmine Dionne, D.C.
• Ryan L Dixon, CRNA
• Travis J Doboszenski, LADC
• Thomas Dorion
• Daniel M Dorsky, PA-C
• Donna Chase Doucette, PMHNP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; 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.