Diane C. Sperry, PH.D., LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

PSY003160 Issued in GA

Legal business name

DIANE C. SPERRY, PH.D., LLC

Practice address

10475 Medlock Bridge Rd
Building 300, Suite 315
Johns Creek, GA 30097-4433

Phone

(678) 935-9567

Fax

(678) 935-9568

NPI assigned

Mar 12, 2008

Organization subpart

No

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

Authorized official

Name

Diane C. Sperry, PH.D.

Title

Registered Agent

Phone

(678) 935-9567

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1285805754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD",
            "address_2": "BUILDING 300, SUITE 315",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974433",
            "telephone_number": "678-935-9567",
            "fax_number": "678-935-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD",
            "address_2": "BUILDING 300, SUITE 315",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974433",
            "telephone_number": "678-935-9567",
            "fax_number": "678-935-9568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE C. SPERRY, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "SPERRY",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "678-935-9567",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "PSY003160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carson Dennis
• Danielle Ashley Depeau-Wilson, P.A.-C
• Kevan Desai, M.D.
• Joanne Mary Deutsch, PHARMD
• Haley Morgan Dewar, LMSW
• Celeste Diblik
• Digestive Care Endoscopy
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• Katerina Rafaela Dikefalos, LAPC, M.S.
• Andrea Dillard, MD

• Adult Mental Health Clinic/Center in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.