DR. NANCY DOLIN DIETRICH PH.D.
NPI 1386841807
Psychologist - Clinical in Birmingham, MI

Active since June 28, 2007Opted out of Medicare · through Mar 3, 2028
999 HAYNES ST STE 300, BIRMINGHAM, MI 48009(248) 723-7111 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nancy Dolin Dietrich Ph.d. NPPES

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

DR. NANCY DOLIN DIETRICH PH.D. (NPI 1386841807) is an individual clinical provider in Birmingham, Michigan, licensed in Michigan (6301012590) and active in the NPI registry since June 2007. She has opted out of Medicare through March 3, 2028.

NPPES Registry Identity

NPI1386841807
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NANCY DOLIN DIETRICHCredential: PH.D.
Location Address999 HAYNES ST STE 300Birmingham, MI 48009-6775
Mailing Address575 Pilgrim AveBirmingham, MI 48009-1210 · (248) 885-1044
Sole ProprietorYes
Enumeration DateJune 28, 2007
Last NPPES UpdateMarch 9, 2022
NPPES CertifiedMarch 9, 2022
NPI 1386841807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MI · 6301012590
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedSocial WorkerTaxonomy 104100000X · License 6801013713 (MI)
999 HAYNES ST STE 300, Birmingham, MI 48009

Other Names 1

Professional Name (2)Dr. Nancy Dolin Dietrich Ph.d.

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Nancy Dolin Dietrich Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 3, 2022 through March 3, 2028.

Opt-Out Effective DateMarch 3, 2022
Opt-Out In Effect ThroughMarch 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Multi-Specialty)
999 HAYNES ST STE 300
BIRMINGHAM, MI 48009
Social Worker (Clinical)
999 HAYNES ST STE 300
BIRMINGHAM, MI 48009
Social Worker (Clinical)
999 HAYNES ST STE 300
BIRMINGHAM, MI 48009

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 Nancy Dietrich's NPI number?

The NPI number for Nancy Dietrich is 1386841807. It was assigned to this individual provider in the NPPES registry on June 28, 2007. The provider is also known as Dr. Nancy Dolin Dietrich Ph.D..

Where is Nancy Dietrich located?

Nancy Dietrich practices at 999 Haynes St Ste 300, Birmingham, MI 48009. The listed phone number is (248) 723-7111.

What is Nancy Dietrich's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nancy Dietrich enrolled in Medicare?

No. Nancy Dietrich has opted out of Medicare through March 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Nancy Dietrich accept?

Health plans from Providence Health Plan list Nancy Dietrich 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 Nancy Dietrich was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.