Dinah H Nieburg, PHD, PLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

0810002889 Issued in VA

Legal business name

DINAH H NIEBURG, PHD, PLC

Practice address

1110 Rose Hill Dr
Suite 201
Charlottesville, VA 22903-5159

Phone

(434) 977-0033

Fax

(434) 220-3335

NPI assigned

Mar 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dinah H Nieburg, PHDNPI 1831126135

Title

Manager

Phone

(434) 977-0033

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dinah Hays Nieburg, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Charlottesville, VA
  • NPI 1831126135
  NPD (past) Authorized official

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1841322302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 ROSE HILL DR",
            "address_2": "SUITE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035159",
            "telephone_number": "434-977-0033",
            "fax_number": "434-220-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 ROSE HILL DR",
            "address_2": "SUITE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229035159",
            "telephone_number": "434-977-0033",
            "fax_number": "434-220-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINAH H NIEBURG, PHD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "NIEBURG",
        "authorized_official_first_name": "DINAH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "434-977-0033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "VA",
            "license": "0810002889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA FAMILY CARE",
            "identifier": "081721M",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER",
            "identifier": "1831126135",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "208466",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "1831126135",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA BEHAVIORAL HEALTH",
            "identifier": "081721M",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Adams Dillon, MD
• Patrick M Dillon, MD
• Stephen C. Dillon, M.D.
• John P. Dimarco, M.D.
• Justin T Dimitt, DPT
• Dale Ding, MD
• Han Ding, FNP
• Elizabeth Branch Dinwiddie, PHD
• Frank W Dipaola, MD
• Thomas Dipiro, M.B.A.

• Clinical Child & Adolescent Psychologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Clinical Child & Adolescent Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.