Diane Marie Greenblatt

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00182300 Issued in NJ

Practice address

214 W Main St
Sute # 110
Moorestown, NJ 08057-2345

Phone

(856) 571-0518

NPI assigned

Aug 26, 2013

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

• Diane Marie Collett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1649604646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 BURROUGHS MILL CIR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080021290",
            "telephone_number": "856-571-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W MAIN ST",
            "address_2": "SUTE # 110",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572345",
            "telephone_number": "856-571-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBLATT",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00182300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "COLLETT",
            "middle_name": "MARIE",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John M Gray, M.D.
• Daniel Green
• Erica Green, OT
• Rachel Green
• David Greenbaum, M.D.
• Stephanie Greenleaf
• Amanda Griffin
• David D Gross, M.D.
• Fred M Gross, PSYD
• Michael Anthony Grosso, MD

• Addiction (Substance Use Disorder) Counselor in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.