Doctor Diane, PS

Primary specialty

PsychologistTaxonomy code 103T00000X

License

602507189 Issued in WA

Legal business name

DOCTOR DIANE, PS

Practice address

1412 SW 43Rd St Ste 240
Renton, WA 98057-4803

Phone

(253) 852-4699

Fax

(844) 848-1265

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Diane M Adams, PH.D.

Title

President

Phone

(253) 852-4699

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1154524460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7306 SW 34TH AVE",
            "address_2": "STE 1 #228",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211140",
            "telephone_number": "253-852-4699",
            "fax_number": "844-848-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SW 43RD ST STE 240",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574803",
            "telephone_number": "253-852-4699",
            "fax_number": "844-848-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR DIANE, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-852-4699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "602507189",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY2393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anh-CHI DO, MD
• Lien Thibich DO, PHARMD
• Tony Hieu Thanh DO, ARNP, FNP-BC
• Doc Robin D PS
• Isaac Stephen Dockter
• Richard S. Dohoda, M.D.
• Karen Dohr
• Jessica Doize, N.D.
• George L Dolack, MD
• Deena Michele Dole, CDP

• Psychologist in Renton, WA
• Providers in Renton, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.