Diane Barbara Deblase, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00235300 Issued in NJ

Practice address

765 E. Route 70 BLDG a
Center for Family Guidance, PC
Marlton, NJ 08053

Phone

(856) 983-3900

Fax

(856) 810-0110

NPI assigned

Sep 3, 2009

Last updated

Sep 3, 2009By 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

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Center for Family Services IncGroup PAC ID 8820072432, 15 clinicians

Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: diane.deblase.p1@direct.cfg.nextgenshare.com

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.

• Center for Family Services, Inc.

  • Community/Behavioral Health Agency
  • Camden, NJ
  • NPI 1861565715
  Medicare reassignment Care Compare group NPD
• Center for Family Guidance, PC

  • Geriatric Psychiatry Physician
  • Marlton, NJ
  • NPI 1508803388
  Medicare reassignment Care Compare group
• Center for Family Services, Inc.

  • Community/Behavioral Health Agency
  • Newton, NJ
  • NPI 1275131567
  NPD
• Center for Family Services, Inc.

  • Community/Behavioral Health Agency
  • Voorhees, NJ
  • NPI 1760875314
  NPD

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1598998783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 DESCHLER BLVD",
            "city": "CLAYTON",
            "state": "NJ",
            "postal_code": "08312",
            "telephone_number": "856-442-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 E. ROUTE 70 BLDG A",
            "address_2": "CENTER FOR FAMILY GUIDANCE, PC",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-983-3900",
            "fax_number": "856-810-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBLASE",
        "first_name": "DIANE",
        "middle_name": "BARBARA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-03",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00235300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Deal, M.S. CCC-SLP
• Meaghan McElroy Dealmeida, M.S. CCC-SLP
• Dean a Drezner MD LLC
• Kathleen Marie Dean, LCSW
• Liza Leluja Deannuntis, M.D.
• Anastasia Debough, LCSW
• Rosemary A Decicco, PA-C
• Ashley B Decker Jensen
• Edmund J. Decker, D.O.
• Stephanie Dejesus, RN, APN, AGACNP-BC

• Psychiatric/Mental Health Nurse Practitioner in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.
• 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.

Verify at the official NPI Registry.