Active NPI
Diane Dolore Sykes, PSY.D.
- Psychologist
- Suwanee, GA
National Provider Identifier
1356784946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY003667
- Practice address
- 5050 Research CT
Suwanee, GA 30024-6606 - Phone
- (678) 749-7600
- Fax
- (770) 232-9043
- NPI assigned
- Apr 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY003667 | GA | Primary |
Addresses
Primary practice location
5050 Research CT
Suwanee, GA 30024-6606
Mailing address
3879 Spalding Wood Dr
Norcross, GA 30092-2602
Phone (678) 691-5702
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003667 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365724800000",
"number": "1356784946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3879 SPALDING WOOD DR",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300922602",
"telephone_number": "678-691-5702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 RESEARCH CT",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246606",
"telephone_number": "678-749-7600",
"fax_number": "770-232-9043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYKES",
"first_name": "DIANE",
"middle_name": "DOLORE",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-12",
"last_updated": "2013-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY003667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.