Active NPI
Diana Robin Gerhart, PH.D.
- Clinical Psychologist
- Purcellville, VA
National Provider Identifier
1558406322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810001682
- Practice address
- 34969 Charles Town Pike
Purcellville, VA 20132-1800 - Phone
- (703) 727-8738
- NPI assigned
- Feb 20, 2007
- Last updated
- Oct 14, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810001682 | VA | Primary |
Addresses
Primary practice location
34969 Charles Town Pike
Purcellville, VA 20132-1800
Mailing address
34969 Charles Town Pike
Purcellville, VA 20132-1800
Phone (540) 668-6697
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 1, 2021 through Nov 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810001682 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381708800000",
"number": "1558406322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34969 CHARLES TOWN PIKE",
"city": "PURCELLVILLE",
"state": "VA",
"postal_code": "201321800",
"telephone_number": "540-668-6697",
"fax_number": "540-668-0463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34969 CHARLES TOWN PIKE",
"city": "PURCELLVILLE",
"state": "VA",
"postal_code": "201321800",
"telephone_number": "703-727-8738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERHART",
"first_name": "DIANA",
"middle_name": "ROBIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2013-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Purcellville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.