Active NPI
Diane V. Stevens, M.D.
- Psychiatry Physician
- Wellesley, MA
National Provider Identifier
1184890931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 250059
- Practice address
- 11 River St Ste 2
Wellesley, MA 02481-2036 - Phone
- (978) 636-0506
- NPI assigned
- May 1, 2008
- Last updated
- Feb 16, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 250059 | MA | Primary |
Addresses
Primary practice location
11 River St Ste 2
Wellesley, MA 02481-2036
Mailing address
41 Cornell St
Newton, MA 02462-1107
Phone (857) 205-4836
Other practice location 1
41 Cornell St
Newton, MA 02462-1107
Phone (857) 205-4836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120718000659 | MA | Practitioner - Psychiatry | 7911163084 | Practice locations: Wellesley, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Tufts University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11 River St
Suite 2
Wellesley, MA 02481-2036
Phone (978) 636-0506
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250059 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1184890931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 CORNELL ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024621107",
"telephone_number": "857-205-4836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 RIVER ST STE 2",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024812036",
"telephone_number": "978-636-0506"
}
],
"practiceLocations": [
{
"address_1": "41 Cornell St",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "MA",
"postal_code": "024621107",
"country_code": "US",
"telephone_number": "857-205-4836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "DIANE",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-01",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "250059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.