NPIMap

Organization Active NPI

Ingrid Diederen PHD PA

  • Adult Mental Health Clinic/Center
  • Asheville, NC
National Provider Identifier
1114229275
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
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
Last updated
Nov 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
Dr. Ingrid Mary Diederen, PHDNPI 1932267887
Title
President
Phone
(828) 253-1445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 1376 NC Primary

Addresses

Primary practice location

172 Asheland Ave
Suite D
Asheville, NC 28801-4005

Mailing address

172 Asheland Ave
Suite D
Asheville, NC 28801-0172

National Provider Directory

National Provider Directory

Locations

172 Asheland Ave
Ste D
Asheville, NC 28801
Phone (828) 252-6221

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Asheville, NC

Sources for this page

  • 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.