Diane Carla Pomerantz, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

01580 Issued in MD

Practice address

660 Kenilworth Dr Ste 101
Towson, MD 21204-2353

Phone

(410) 653-9079

Fax

(410) 887-5384

NPI assigned

Sep 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1013101864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 POINSETTIA CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091109",
            "telephone_number": "410-653-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 KENILWORTH DR STE 101",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042353",
            "telephone_number": "410-653-9079",
            "fax_number": "410-887-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERANTZ",
        "first_name": "DIANE",
        "middle_name": "CARLA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "01580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey E Poley
• Aleah Poliakoff
• Arielle Ilene Poliakoff
• Jeremy Stephen Pollock, M.D.
• Brianne Pomerantz
• Sarah Poole, LCSW-C
• Gennifer Popek
• Olamide C Popoola
• Collin Porter
• James K Porterfield, M.D.

• Psychologist in Towson, MD
• Providers in Towson, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.