Active NPI
Diane F. Jayson, PH.D.
- Psychologist
- Rockville, MD
National Provider Identifier
1770529893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 02466
- Practice address
- 14520 Woodcrest Dr
Rockville, MD 20853-2370 - Phone
- (301) 460-1675
- Fax
- (301) 460-6766
- NPI assigned
- Jun 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 02466 | MD | Primary |
Addresses
Primary practice location
14520 Woodcrest Dr
Rockville, MD 20853-2370
Mailing address
14520 Woodcrest Dr
Rockville, MD 20853-2370
Phone (301) 460-1675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110526000666 | DC | Practitioner - Clinical Psychologist | 6709063829 | Practice locations: Rockville, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02466 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770529893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14520 WOODCREST DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208532370",
"telephone_number": "301-460-1675",
"fax_number": "301-460-6766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14520 WOODCREST DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208532370",
"telephone_number": "301-460-1675",
"fax_number": "301-460-6766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYSON",
"first_name": "DIANE",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MD",
"license": "02466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.