Active NPI
Diane Pies Toby, PH.D.
- Clinical Child & Adolescent Psychologist
- Lisle, IL
National Provider Identifier
1194912824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 071.007194
- Practice address
- 5007 Lincoln Ave
Suite 106
Lisle, IL 60532-4187 - Phone
- (630) 470-7921
- Fax
- (630) 629-8048
- NPI assigned
- Sep 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 071.007194 | IL | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 071.007194 | IL | Primary |
Addresses
Primary practice location
5007 Lincoln Ave
Suite 106
Lisle, IL 60532-4187
Mailing address
5007 Lincoln Ave
Suite 106
Lisle, IL 60532-4187
Phone (630) 470-7921
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12253092 | Other | IL | CAQH |
| 1194912824 | Other | IL | NPI NUMBER |
| 071007194 | Other | IL | LICENSE (CLINICAL PSYCHOLOGIST) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.007194 | IL | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338422400000",
"number": "1194912824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5007 LINCOLN AVE",
"address_2": "SUITE 106",
"city": "LISLE",
"state": "IL",
"postal_code": "605324187",
"telephone_number": "630-470-7921",
"fax_number": "630-629-8048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5007 LINCOLN AVE",
"address_2": "SUITE 106",
"city": "LISLE",
"state": "IL",
"postal_code": "605324187",
"telephone_number": "630-470-7921",
"fax_number": "630-629-8048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBY",
"first_name": "DIANE",
"middle_name": "PIES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-26",
"last_updated": "2012-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "IL",
"license": "071.007194",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "IL",
"license": "071.007194",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12253092",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1194912824",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE (CLINICAL PSYCHOLOGIST)",
"identifier": "071007194",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.