Active NPI
Diane C Hahn, PH.D.
- Clinical Psychologist
- Tarpon Springs, FL
National Provider Identifier
1598722191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY5615
- Practice address
- 905 E Martin Luther King Jr Dr
Ste 214
Tarpon Springs, FL 34689-4827 - Phone
- (727) 937-2552
- NPI assigned
- Apr 27, 2006
- 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 | PY5615 | FL | Primary |
Addresses
Primary practice location
905 E Martin Luther King Jr Dr
Ste 214
Tarpon Springs, FL 34689-4827
Mailing address
905 E Martin Luther King Jr Dr
Suite 214
Tarpon Springs, FL 34689-4864
Phone (727) 937-2552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120203000161 | FL | Practitioner - Psychologist Billing Independently | 6901063957 | Practice locations: Tarpon Springs, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
905 E Martin Luther King Jr Dr
Suite 214
Tarpon Springs, FL 34689-4827
Phone (727) 937-2552
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY5615 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1598722191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 E MARTIN LUTHER KING JR DR",
"address_2": "SUITE 214",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346894864",
"telephone_number": "727-937-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 E MARTIN LUTHER KING JR DR",
"address_2": "STE 214",
"city": "TARPON SPRINGS",
"state": "FL",
"postal_code": "346894827",
"telephone_number": "727-937-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAHN",
"first_name": "DIANE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY5615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarpon Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.