Diane C Whitley Feldman, PH.DL

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP0806 Issued in MN

Practice address

4083 Sunnyside Rd
Edina, MN 55424-1245

Phone

(952) 926-2777

Fax

(952) 926-2777

NPI assigned

Aug 10, 2005

Last updated

Sep 10, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1144221243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4083 SUNNYSIDE RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241245",
            "telephone_number": "952-926-2777",
            "fax_number": "952-926-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4083 SUNNYSIDE RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241245",
            "telephone_number": "952-926-2777",
            "fax_number": "952-926-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "DIANE C",
        "middle_name": "WHITLEY",
        "credential": "PH.DL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP0806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BOARD OF PSYCH LICENSE",
            "identifier": "LP0806",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "04420FE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Marie Federico, DO
• Lisa Kae Feese, RN CDE FNP
• Jodi Fehringer
• Joshua Alex Feiner, DC
• Deborah Felber, GNP
• Steven Li-Yang Feng, M.D.
• Catherine Fenlason, SLP
• Naomi Fennell, M.D.
• Carlos Hernandez Fernandez, M.D.
• Laurie B Ferri, OT

• Clinical Psychologist in Edina, MN
• Providers in Edina, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.