Diane Peters, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

#5137 Issued in OH

Practice address

218 N Main St
Bryan, OH 43506-1318

Phone

(419) 630-0211

Fax

(419) 630-0211

NPI assigned

Sep 14, 2005

Last updated

Jul 9, 2007By the provider in NPPES

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: 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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Call for Help, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Napoleon, OH
  • NPI 1235106519
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902891047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N MAIN ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061318",
            "telephone_number": "419-630-0211",
            "fax_number": "419-630-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N MAIN ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435061318",
            "telephone_number": "419-630-0211",
            "fax_number": "419-630-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "#5137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0308250",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heidi Elaine Paxton, COTA/L
• Carol Jane Peggs, PT
• Cathleen Pelland
• Peopleworks Developers of Human Resources, LLC
• Peters Family Eyecare Associates
• Randy L Peters, O.D.
• Ryan Peters I
• Darisa Phillips, COTA/L
• Mark E Phillips, D.D.S.
• Larry Michael Pickett, CRNA

• Clinical Psychologist in Bryan, OH
• Providers in Bryan, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
• 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.