Diane Kathleen Cerjan, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

GA2049 Issued in GA

Practice address

506 N Jackson St
The Renaissance Centre
Albany, GA 31701-2308

Phone

(229) 889-7200

Fax

(229) 889-7393

NPI assigned

Nov 16, 2005

Last updated

Jun 28, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Covenant Counseling Center, Inc.

  • Psychologist
  • Moultrie, GA
  • NPI 1730234204
  NPD (past) Authorized official
• The Renaissance Centre, Inc.

  • Psychologist
  • Albany, GA
  • NPI 1104970193
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1437131380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ROBINHOOD RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31707",
            "telephone_number": "229-889-7200",
            "fax_number": "229-889-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N JACKSON ST",
            "address_2": "THE RENAISSANCE CENTRE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012308",
            "telephone_number": "229-889-7200",
            "fax_number": "229-889-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERJAN",
        "first_name": "DIANE",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "GA2049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000733961A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caz Counseling and Behavioral Health
• Robert Cella, MD
• Centerwell Health Services USA LLC (CenterWell Home Health)
• Central Albany OB-GYN, P.C.
• Centre' for Cosmetic Dentistry
• Timothy Barrett Chaffin, FNP
• Kristen H Champion, NP
• Penny L Champion, CNM
• William E Chandler, MD
• Cynthia Ann Chaney, NP

• Psychologist in Albany, GA
• Providers in Albany, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.