Individual provider Active NPI

Diane Sizer, PH.D.

  • Psychologist
  • Southampton, PA
National Provider Identifier
1265478259
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS008239L Issued in PA
Practice address
928 Jaymor Rd Ste B-150
Southampton, PA 18966-3853
Phone
(215) 947-8654
Fax
(215) 938-7607
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS-008239-L PA
Psychologist 103T00000X PS008239L PA Primary

Addresses

Primary practice location

928 Jaymor Rd Ste B-150
Southampton, PA 18966-3853

Mailing address

928 Jaymor Rd Ste B-150
Southampton, PA 18966-3853
Phone (856) 745-9579

Other practice location 1

928 Jaymor Rd Ste B-150
Southampton, PA 18966-3853
Phone (856) 745-9579

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171211002715 PA Practitioner - Clinical Psychologist 9739336868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Growth Opportunity CenterGroup PAC ID 9335051085, 27 clinicians

Practice addresses (Care Compare)

928 Jaymor Rd
Suite B 150
Southampton, PA 18966-3853
Phone (215) 947-8654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS-008239-LPAMDPsychologist
PS008239LPAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Growth Opportunity Center CurrentSince Oct 1, 2017 Accepting new patients

Locations

928 Jaymor Rd
Ste B150
Southampton, PA 18966
Phone (215) 947-8654

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1265478259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 JAYMOR RD STE B-150",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663853",
            "telephone_number": "856-745-9579",
            "fax_number": "215-938-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 JAYMOR RD STE B-150",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663853",
            "telephone_number": "215-947-8654",
            "fax_number": "215-938-7607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "928 Jaymor Rd Ste B-150",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "PA",
            "postal_code": "189663853",
            "country_code": "US",
            "telephone_number": "856-745-9579",
            "fax_number": "215-938-7607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIZER",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-008239-L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008239L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

Verify at the official NPI Registry.