Diane M Moran, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5736 Issued in OH

Practice address

4833 Darrow Rd Ste 100
Stow, OH 44224-1411

Phone

(330) 422-3255

Fax

(330) 422-3256

NPI assigned

Oct 11, 2006

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, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cuyahoga Valley Psychological LLCGroup PAC ID 3274917778, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Cuyahoga Valley Psychological LLC

  • Clinical Psychologist
  • Stow, OH
  • NPI 1639809692
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1942398250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 DARROW RD STE 100",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241411",
            "telephone_number": "330-422-3255",
            "fax_number": "330-422-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 DARROW RD STE 100",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241411",
            "telephone_number": "330-422-3255",
            "fax_number": "330-422-3256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 Graham Rd",
            "address_2": "Reserve Psychological Consultants Inc Ste A",
            "address_purpose": "LOCATION",
            "city": "Cuyahoga Falls",
            "state": "OH",
            "postal_code": "44223",
            "country_code": "US",
            "telephone_number": "330-929-1326",
            "fax_number": "330-929-1327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 PORTAGE TRAIL EXT W",
            "address_2": "STE 101",
            "address_purpose": "LOCATION",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442233609",
            "country_code": "US",
            "telephone_number": "330-929-1326",
            "fax_number": "330-929-1327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORAN",
        "first_name": "DIANE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2298964",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Richard Morris
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• Mary Bernadette Moxley
• John Howard Murphy, D.D.S.

• Psychologist in Stow, OH
• Providers in Stow, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.