Individual provider Active NPI

Diana I. Simeonova, DIPL.-PSYCH., PH.D.

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1659619377
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY003643 Issued in GA
Practice address
1365 Clifton Rd NE
The Emory Clinic Psychiatry Suite 6100B
Atlanta, GA 30322-1013
Phone
(404) 778-2524
NPI assigned
Jan 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY003643 GA Primary

Addresses

Primary practice location

1365 Clifton Rd NE
The Emory Clinic Psychiatry Suite 6100B
Atlanta, GA 30322-1013

Mailing address

1365 Clifton Road NE, Suite 6100B
The Emory Clinic/Psychiatry
Atlanta, GA 30322
Phone (404) 778-2524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1659619377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON ROAD NE, SUITE 6100B",
            "address_2": "THE EMORY CLINIC/PSYCHIATRY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30322",
            "telephone_number": "404-778-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE",
            "address_2": "THE EMORY CLINIC PSYCHIATRY SUITE 6100B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-778-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMEONOVA",
        "first_name": "DIANA",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "DIPL.-PSYCH., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.