Diana Brook Dobier, PSYD LCP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071005726 Issued in IL

Practice address

210 S Randolph St
Macomb, IL 61455-3828

Phone

(217) 779-5506

NPI assigned

May 17, 2020

Last updated

May 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Diana Brook Proctor Other name

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dianadobier@tdh.allscriptsdirect.net

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.

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  Medicare reassignment NPD
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  Psychologist

  NPD

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

{
    "created_epoch": "1589673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589673600000",
    "number": "1568084127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6482 LAKESHORE VIEW DR",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626814707",
            "telephone_number": "217-779-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S RANDOLPH ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553828",
            "telephone_number": "217-779-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBIER",
        "first_name": "DIANA",
        "middle_name": "BROOK",
        "name_prefix": "Dr.",
        "credential": "PSYD LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-17",
        "last_updated": "2020-05-17",
        "certification_date": "2020-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071005726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "PROCTOR",
            "middle_name": "BROOK",
            "prefix": "DR.",
            "credential": "PSYD LCP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David R Culver OD LTD (Family Vision Care)
• Denman Services, Inc (Macomb Medical Equipment & Supply)
• Marilyn Kay Derry
• Rebecca E Derry, MSED, NCC, LCPC
• Jon Karl Dively, DDS
• Nicholas D Doll, D.M.D.
• Kaylen Paige Dorich, LCSW
• Dr Eric Botts & Associates LLC
• Kristen Jean Draughan, LCSW
• Madhu Dukkipati, M.D.

• Psychologist in Macomb, IL
• Providers in Macomb, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.