Diane M Adams, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS00002393 Issued in WA

Practice address

1412 SW 43Rd St Ste 240
Renton, WA 98057-4803

Phone

(253) 852-4699

Fax

(844) 848-1265

NPI assigned

Aug 18, 2006

Last updated

May 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Doctor Diane, PS

  • Psychologist
  • Renton, WA
  • NPI 1154524460
  Authorized official Same address or phone

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1922112937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19012 103RD PL SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980556602",
            "telephone_number": "253-852-4699",
            "fax_number": "844-848-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SW 43RD ST STE 240",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574803",
            "telephone_number": "253-852-4699",
            "fax_number": "844-848-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "DIANE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY203189",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PS00002393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI",
            "identifier": "602507189",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sujata Ramanand Acharya, PT
• Daniel Acierto
• Active Chiropractic Inc
• Anita Wenching Adair, LMT
• Margaret R Adam, MD
• Eiko Adams
• Erin Virginia Adams, MD
• Grace Adams
• Lauren S Adams, PT
• Jasmine Ashley Adrian, LMP

• Clinical Psychologist in Renton, WA
• Providers in Renton, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.