Ingrid Diederen PHD PA

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

1376 Issued in NC

Legal business name

INGRID DIEDEREN PHD PA

Practice address

172 Asheland Ave
Suite D
Asheville, NC 28801-4005

Phone

(828) 253-1445

Fax

(828) 253-1456

NPI assigned

Nov 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ingrid Mary Diederen, PHD

Title

President

Phone

(828) 253-1445

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Dunkin Baker, MD

  • Psychiatry Physician
  • Asheville, NC
  • NPI 1649349242
  NPD (past)
• Shirley Ann Taffel, PSYCHOLOGIST

  • Psychologist
  • Black Mountain, NC
  • NPI 1992809347
  NPD (past)

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1114229275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 ASHELAND AVE",
            "address_2": "SUITE D",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288010172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 ASHELAND AVE",
            "address_2": "SUITE D",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014005",
            "telephone_number": "828-253-1445",
            "fax_number": "828-253-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRID DIEDEREN PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "DIEDEREN",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-253-1445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Denise Ingram, M.D.
• Laura Hawk Ingram, LPT
• Inner Light Counseling Collective PLLC
• Inner Worth Mental Health Counseling, PLLC
• Innerlight Inc
• Innerquest, PLLC
• Insight Human Servces

• All providers in Asheville, NC
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; 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.