Individual provider Active NPI

Diane Handlin, PH.D.

  • Clinical Psychologist
  • Edison, NJ
National Provider Identifier
1851410146
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3306 Issued in NJ
Practice address
82 Park Gate Dr
Edison, NJ 08820-4034
Phone
(732) 549-9100
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3306 NJ Primary

Addresses

Primary practice location

82 Park Gate Dr
Edison, NJ 08820-4034

Mailing address

82 Park Gate Dr
Edison, NJ 08820-4034
Phone (732) 549-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20050615000620 NJ Practitioner - Clinical Psychologist 2860436342 Practice locations: Edison, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

82 Park Gate Dr
Edison, NJ 08820-4034
Phone (732) 549-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3306NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Weiner Goldsmith Development Associates LLC Clinical PastSince Nov 9, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1851410146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 PARK GATE DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088204034",
            "telephone_number": "732-549-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 PARK GATE DR",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088204034",
            "telephone_number": "732-549-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDLIN",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "3306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

Verify at the official NPI Registry.