Ingrid Mary Diederen, PH D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1376 Issued in NC

Practice address

172 Asheland Avenue
Suite D
Asheville, NC 28801

Phone

(828) 253-1445

Fax

(828) 253-1456

NPI assigned

Dec 4, 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

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Biltmore Associates in Psychiatry and Psychology

  • Psychiatry Physician
  • Asheville, NC
  • NPI 1235207408
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932267887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 ASHELAND AVENUE",
            "address_2": "SUITE D",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28801",
            "telephone_number": "828-253-1445",
            "fax_number": "828-253-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 ASHELAND AVENUE",
            "address_2": "SUITE D",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28801",
            "telephone_number": "828-253-1445",
            "fax_number": "828-253-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEDEREN",
        "first_name": "INGRID",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0324H",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Dickerson
• Rebecca Taylor Dickerson, PA-C
• Natalie Dickinson, RD
• Robert Thomas Dickinson, CRNA
• Irina A Didier, MD
• Hannah Marie Diener, LCMHCA
• Michael Henry Diettrich-Chastain, LPC, LCAS-A
• Edgardo Diez, MD
• Karen Noreen Cassidy Diez, FNP-C
• Digestive Health Partners, PA

• Clinical Psychologist in Asheville, NC
• Providers in Asheville, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.