Diane Marilee Gard, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

33829 Issued in TX

Practice address

122 S Gun Barrel LN
Suite 6
Gun Barrel City, TX 75156-9403

Phone

(903) 887-0697

Fax

(903) 887-0698

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• East Texas Neurobehavioral Health,PLLC

  • Clinical Psychologist
  • Gun Barrel City, TX
  • NPI 1114285970
  Medicare reassignment NPD Authorized official
• Colorado Neurobehavioral Health Inc.

  • Clinical Neuropsychologist
  • Denver, CO
  • NPI 1760685853
  NPD (past) Authorized official
• Community Counseling Center Inc

  • Clinical Social Worker
  • Athens, TX
  • NPI 1285946343
  NPD (past)
• East Texas Psychological Services, PLLC

  • Clinical Psychologist
  • Athens, TX
  • NPI 1093029951
  NPD (past)
• Senior Connections of Texas, PLLC

  • Clinical Psychologist
  • Austin, TX
  • NPI 1831368703
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1831264274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2107",
            "city": "MABANK",
            "state": "TX",
            "postal_code": "751475017",
            "telephone_number": "903-368-2299",
            "fax_number": "903-489-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S GUN BARREL LN",
            "address_2": "SUITE 6",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751569403",
            "telephone_number": "903-887-0697",
            "fax_number": "903-887-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARD",
        "first_name": "DIANE",
        "middle_name": "MARILEE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2264",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "33829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "614301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• William Russell Giles Jr., MD
• Glen Haywood DC PC

• Clinical Psychologist in Gun Barrel City, TX
• Providers in Gun Barrel City, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.