Diane L Payne, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1615 Issued in NC

Practice address

3111 Springbank LN
Suite I
Charlotte, NC 28226-3372

Phone

(704) 540-0625

Fax

(704) 540-2762

NPI assigned

May 23, 2008

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

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

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

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 and National Provider Directory roles.

• Diane L Payne PHD PA

  • Psychologist
  • Charlotte, NC
  • NPI 1588681142
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1942468228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 SPRINGBANK LN",
            "address_2": "SUITE I",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263372",
            "telephone_number": "704-540-0625",
            "fax_number": "704-540-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 SPRINGBANK LN",
            "address_2": "SUITE I",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263372",
            "telephone_number": "704-540-0625",
            "fax_number": "704-540-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "DIANE",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Kiara Paylor
• Candace Charlene Payne-Butler, L.C.S.W.
• Anne Payne
• Chandee Leigh Payne, DO
• Demita G Payne, PT
• Emily Rodgers Payne, MS, CCC-SLP
• Joseph Payne, MD
• Karen Adele Payne, NP
• Karen Yates Payne, LPTA
• Katelyn Elizabeth Payne, PNP

• Clinical Psychologist in Charlotte, NC
• Providers in Charlotte, 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 Jun 10, 2008; 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.