Diane Holly Eden, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35054442 Issued in OH

Practice address

35000 Chardon Rd
Suite #210
Willoughby Hills, OH 44094-9012

Phone

(440) 951-5600

Fax

(440) 951-1293

NPI assigned

Feb 15, 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

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deden37801@ehrdirect.uhhospitals.org

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.

• Psychological & Behavioral Consultants, LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713
  Medicare reassignment NPD

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490486400000",
    "number": "1720052772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34900 CHARDON RD",
            "address_2": "STE 200",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949161",
            "telephone_number": "440-951-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35000 CHARDON RD",
            "address_2": "SUITE #210",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949012",
            "telephone_number": "440-951-5600",
            "fax_number": "440-951-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDEN",
        "first_name": "DIANE",
        "middle_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2017-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35054442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0711573",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy R Dorod-Gaul, M.ED, LPCC-SUPV
• Dr. Alan L. Palgut, Chiropractor, Inc.
• Dr. Mark a. Tozzi
• Eastside MRI Limited Partnership
• Katherine May Eberhart
• Malarie Ann Eggleston
• Cecily Victoria Ehrlich
• Cheneada Carol Ellington, RN
• Emerald Dental Care, Matthew Kramer, DMD, Inc.
• En Pointe Behavioral Services LLC

• Psychiatry Physician in Willoughby Hills, OH
• Providers in Willoughby Hills, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2017; 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.