Active NPI
Diane Johnson Felder, M.D.
- Child & Adolescent Psychiatry Physician
- Alpharetta, GA
National Provider Identifier
1063561645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- H5122
- Practice address
- 2520 Northwinds Pkwy
Suite 300
Alpharetta, GA 30009-2216 - Phone
- (678) 319-3747
- Fax
- (888) 656-5712
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | H5122 | TX | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | H5122 | TX | Primary |
Addresses
Primary practice location
2520 Northwinds Pkwy
Suite 300
Alpharetta, GA 30009-2216
Mailing address
10215 Olivia View LN
Cypress, TX 77433-4797
Phone (281) 451-4327
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1753408 | Medicaid | LA | |
| 122226703 | Medicaid | TX | |
| H5122 | Other | TX | TX STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486598400000",
"number": "1063561645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10215 OLIVIA VIEW LN",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774334797",
"telephone_number": "281-451-4327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 NORTHWINDS PKWY",
"address_2": "SUITE 300",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300092216",
"telephone_number": "678-319-3747",
"fax_number": "888-656-5712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDER",
"first_name": "DIANE",
"middle_name": "JOHNSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2017-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "H5122",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "TX",
"license": "H5122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1753408",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122226703",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX STATE LICENSE",
"identifier": "H5122",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.