Sandra Ann Diehl, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

31237 Issued in GA

Practice address

709 Canton Rd NE Ste 200
Marietta, GA 30060-7258

Phone

(770) 426-3088

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Psychological Source, Inc.

  • Clinical Social Worker
  • Marietta, GA
  • NPI 1740421163
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1912082181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 CANTON RD NE STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607258",
            "telephone_number": "770-426-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 CANTON RD NE STE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607258",
            "telephone_number": "770-426-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "SANDRA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "31237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00728571B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Dickerson Dickerson, AA-C
• Ramona Dickey, DPT
• Demetrius Leutrel Dicks, M.D.
• Alexa Anne Dickson, FNP
• Mark W Diehl, M.D.
• Danielle Ann Dietrich, DC
• Katherine Dietzel, DPT
• Jacqueline Lydia Difelice, PA-C
• Erin Diffenderffer, PT
• Digestive Healthcare of Ga, P.C.

• Psychiatry Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.