DR. LUCETRY DALTON-TRUSTY PSY.D.
NPI 1124554159
Psychologist in Dearborn, MI

Active since May 11, 2017PECOS Enrolled
3200 GREENFIELD RD, DEARBORN, MI 48120(313) 777-9034 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2024, May 11, 2017 (2 updates tracked since 2017).

About Dr. Lucetry Dalton-trusty Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LUCETRY DALTON-TRUSTY PSY.D. (NPI 1124554159) is an individual psychologist in Dearborn, Michigan, licensed in Michigan (6301018016) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124554159
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LUCETRY DALTON-TRUSTYCredential: PSY.D.
Location Address3200 GREENFIELD RDDearborn, MI 48120-1802
Mailing Address5425 Gullen Mall Ofc 343Detroit, MI 48202-3905 · (248) 421-3524
Sole ProprietorNo
Enumeration DateMay 11, 2017
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
NPI 1124554159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6301018016
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3200 GREENFIELD RD, Dearborn, MI 48120

Other Names 1

Former Name (1)Dr. Lucetry Bianchi Dalton Psyd

Secondary Practice Locations 2

Location 1660 Woodward Ave Ste 2430Detroit, MI 48226-3502 · Phone (313) 457-9355
Location 21760 Abbey RdEast Lansing, MI 48823-7301 · Phone (313) 777-9034

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Lucetry Dalton-trusty Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
3200 GREENFIELD RD
DEARBORN, MI 48120
Social Worker
3200 GREENFIELD RD
DEARBORN, MI 48120
Behavior Analyst
3200 GREENFIELD RD
DEARBORN, MI 48120
Social Worker (Clinical)
3200 GREENFIELD RD
DEARBORN, MI 48120
Home Health
3200 GREENFIELD RD
DEARBORN, MI 48120
Psychologist (Clinical)
3200 GREENFIELD RD, SUITE 300
DEARBORN, MI 48120
Behavior Technician
3200 GREENFIELD RD
DEARBORN, MI 48120
In Home Supportive Care
3200 GREENFIELD RD
DEARBORN, MI 48120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lucetry Dalton-trusty's NPI number?

The NPI number for Lucetry Dalton-trusty is 1124554159. It was assigned to this individual provider in the NPPES registry on May 11, 2017. The provider is also known as Dr. Lucetry Bianchi Dalton Psyd.

Where is Lucetry Dalton-trusty located?

Lucetry Dalton-trusty practices at 3200 Greenfield Rd, Dearborn, MI 48120. The listed phone number is (313) 777-9034.

What is Lucetry Dalton-trusty's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Lucetry Dalton-trusty enrolled in Medicare?

Yes. Lucetry Dalton-trusty is registered in the Medicare PECOS enrollment system.

What insurance does Lucetry Dalton-trusty accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Lucetry Dalton-trusty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lucetry Dalton-trusty was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.