DIANE GOTTLIEB


Address: 2900 W Queen Ln, Suite 221h, Philadelphia, PA 19129-1033
Phone: 2159918532

DIANE GOTTLIEB (NPI# 1124017082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124017082
Entity Type Individual
Full Name DIANE GOTTLIEB
Credential MD
Practice Address 2900 W Queen Ln
Suite 221h
Philadelphia
PA 19129-1033
Practice Telephone 2159918532
Practice Fax Number 2158435495
Mailing Telephone 2159918532
Mailing Fax Number 2158435495
Enumeration Date 2005-10-13
Last Update Date 2008-05-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
MD064466L PA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 0018303020006 05

Other Providers DIANE GOTTLIEB

NPI Name Taxonomy Address Enumeration
1649392374 Diane Carole Gottlieb Social Worker 2 Eves Dr, Suite 104, Marlton, NJ 08053-3193 2007-04-04
1982775763 Diane T Gottlieb Psychologist 187 Saint Paul St, Suite 2, Burlington, VT 05401-4689 2006-11-13

Office Location

Street Address 2900 W QUEEN LN
SUITE 221H
City PHILADELPHIA
State PA
Zip Code 19129-1033

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023250693 Lindsay Ann Pharmer Student in an Organized Health Care Education/Training Program 2900 W Queen Ln, Philadelphia, PA 19129-1033 2009-03-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982243754 Margaret Brown Social Worker Sherman Mills 3502 Scott's Lane, Building 16, Philadelphia, PA 19129 2019-12-27
1518325760 Care365 Inc Case Management 3507 Scotts Ln, Ste. 1923, Philadelphia, PA 19129 2016-02-03
1144698408 Raymond C Nwaneri Nurse Practitioner 3301 Scotts Lane, Haven Behavioral Hospital, Philadelphia, PA 19129 2015-09-03
1659748432 Donna S. Wolf Social Worker 3302 Tilden Street, Philadelphia, PA 19129 2015-08-27
1891066619 Melissa Sayer Advanced Practice Midwife 2450 W. Hunting Park Ave, Temple University Health System, Philadelphia, PA 19129 2012-01-25
1154604007 Keystone Psychological Associates Clinic/Center 3502 Scotts Lane, Building 1 Suite 114, Philadelphia, PA 19129 2011-09-27
1174754618 Clarence B Iszard Jr. Counselor 3246 North Bailey Street, Philadelphia, PA 19129 2009-07-31
1487816708 St.chris Care At Northeast Pediatrics, LLC Pediatrics One Falls Center, 3300 Henry Avenue, 4th Floor, Philadelphia, PA 19129 2008-06-27
1740400845 Sharon L. Young Psychologist 3205 Defense Terrace, Abbottsford Family Practice & Counseling, Philadelphia, PA 19129 2007-04-30
1043355621 Donald Herman Silverman Dentist 3405 Warden Drive, Philadelphia, PA 19129 2007-02-21
Find all providers in zip 19129

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407499148 Tower Drexel Academic Medical Group LLC Psychiatry & Neurology 160 E Erie Ave Fl 2, Philadelphia, PA 19134-1011 2019-10-25
1568956043 Reid Thomas Alley Psychiatry & Neurology Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 2018-06-19
1073033874 Sarah Miller Psychiatry & Neurology 100 E Lehigh Ave Ste 305b, Philadelphia, PA 19125-1012 2017-06-22
1659800175 Michael William Pelekanos Psychiatry & Neurology 100 E. Lehigh Avenue Suite 305b, Philadelphia, PA 19125 2017-06-08
1063940187 Travis J Dichoso Psychiatry & Neurology 100 E Lehigh Ave Suite 305b, Philadelphia, PA 19125 2017-06-02
1104354778 Julian Camilo Artunduaga Psychiatry & Neurology 100 E Lehigh Ave Bldg Suit105, Philadelphia, PA 19125-1012 2017-05-26
1538691340 Lea Fowler Hecht Psychiatry & Neurology 3207 Baring St, Apt. 2, Philadelphia, PA 19104-2510 2017-03-30
1962941021 Whidbey Island Public Hospital District Psychiatry & Neurology 808 S Swanson St, Philadelphia, PA 19147-4330 2017-02-21
1811340482 Katarzyna Liwski Psychiatry & Neurology 4641 Roosevelt Boulevard, E212, Drexel University College of Medicine Friends Hospital, Philadelphia, PA 19124 2016-07-19
1649620089 Matthew Parker Psychiatry & Neurology 2040 Market St Apt 1121, Philadelphia, PA 19103-3369 2016-06-16
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19129

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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