Irina V Diyankova, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

P0000002869 Issued in TN

Practice address

9111 Cross Park Dr Ste D200
Knoxville, TN 37923-4521

Phone

(865) 888-0257

Fax

(866) 991-4396

NPI assigned

Aug 28, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 12, 2019 through Mar 12, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Healing Trauma

  • Counseling Psychologist
  • Knoxville, TN
  • NPI 1417230608
  NPD (past) Authorized official

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

{
    "created_epoch": "1314489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1174803670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7338 JENKINS CREEK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379314563",
            "telephone_number": "865-888-0257",
            "fax_number": "866-991-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 CROSS PARK DR STE D200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234521",
            "telephone_number": "865-888-0257",
            "fax_number": "866-991-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIYANKOVA",
        "first_name": "IRINA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-28",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "P0000002869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Dixon
• Lori A Dixon
• Richard Keith Dixon II, CASE MANAGER
• Robert Alan Dixon, LPN
• Tina Dixon
• Nelye Josiane Djouwe Kengne, PHARMD
• Bao Gia DO
• Renee Vu DO, MD
• Abby Doane
• Kayla Danielle Doane, SLP-CCC

• Counseling Psychologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Counseling Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.