Dianne L Grande, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-004183 Issued in IL

Practice address

335 N River St
Suite 210
Batavia, IL 60510-2386

Phone

(630) 406-5493

Fax

(630) 879-6806

NPI assigned

Aug 30, 2006

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 identifiers 1

Other names 1

• Dr. Dianne L. Lee-Riordan Professional 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

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prairie Psychotherapy Services LLC

  • Clinical Psychologist
  • Batavia, IL
  • NPI 1497067292
  NPD (past)
• Psychcare Associates P.C.

  • Clinical Psychologist
  • Aurora, IL
  • NPI 1639233190
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1669581724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 WEST LANE",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601341037",
            "telephone_number": "630-208-1975",
            "fax_number": "630-879-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 N RIVER ST",
            "address_2": "SUITE 210",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102386",
            "telephone_number": "630-406-5493",
            "fax_number": "630-879-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDE",
        "first_name": "DIANNE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-004183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2619",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANNE",
            "last_name": "LEE-RIORDAN",
            "middle_name": "L.",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brittany Gonzalez, MSN, APRN, FNP-C
• Good Energy Women'S Health, PLLC
• Traci Rita Gouriotis, MS SLPL CCC
• Isabel Govea, M.H.S
• Barbara Goy, LCSW, CADC, MISAII
• Andrea P Graves, RPH
• Great Homecare Inc
• Queila Griffin
• Mary Therese Gustafson, MS CCCSLPL
• Stephanie Halihan, LCSW

• Clinical Psychologist in Batavia, IL
• Providers in Batavia, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.