Kenneth W Diehl Jr., PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

01018 Issued in MD

Practice address

1001 Cromwell Bridge Rd
Suite 308
Baltimore, MD 21286-3300

Phone

(410) 337-6760

Fax

(410) 337-6760

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in MD

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

Specialty

Clinical Psychologist

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• John Braxton MD

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1306051321
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1285653949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7518 KNOLLWOOD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212867931",
            "telephone_number": "410-825-2281",
            "fax_number": "410-825-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CROMWELL BRIDGE RD",
            "address_2": "SUITE 308",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212863300",
            "telephone_number": "410-337-6760",
            "fax_number": "410-337-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "KENNETH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "01018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Diedrich
• Donald S. Diefendorf, P.A.-C
• Beth Carol Diehl Svrjcek, CRNP
• Barbara Lynn Diehl, MA LCPC
• Jordan Diehl, RN
• Matthew Steven Diehl, PHARMD
• Sarah Diehl, MDIV, MS, LCPC
• Karl W Diehn, M.D.
• Mary K Diehn, M.D.
• Taylor Breanne Diehr, LCSW-C

• Psychologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.

Verify at the official NPI Registry.