DR. DIANE PIES TOBY (NPI# 1194912824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194912824 |
| Entity Type | Individual |
| Full Name | DR. DIANE PIES TOBY |
| Credential | PH.D. |
| Practice Address |
5007 Lincoln Ave Suite 106 Lisle IL 60532-4187 |
| Practice Telephone | 6304707921 |
| Practice Fax Number | 6306298048 |
| Mailing Telephone | 6304707921 |
| Mailing Fax Number | 6306298048 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2012-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 071.007194 | IL | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
071.007194 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NPI NUMBER | 1194912824 | 01 |
| IL | CAQH | 12253092 | 01 |
| IL | LICENSE (CLINICAL PSYCHOLOGIST) | 071007194 | 01 |
| Street Address |
5007 LINCOLN AVE SUITE 106 |
| City | LISLE |
| State | IL |
| Zip Code | 60532-4187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275659732 | Katherine Borchardt | Clinical Neuropsychologist | 5007 Lincoln Ave, Suite 205, Lisle, IL 60532-4187 | 2007-03-22 |
| 1326480989 | Katherine Borchardt, Psy.d., P.C. | Psychologist | 5007 Lincoln Ave, Lisle, IL 60532-4187 | 2013-07-24 |
| 1265742563 | Favos Home Care Inc. | Home Health | 5007 Lincoln Ave, Suite 202, Lisle, IL 60532-4187 | 2010-10-20 |
| 1265653927 | Loyola Home Healthcare Respurces Inc | Home Health | 5007 Lincoln Ave, Suite 102, Lisle, IL 60532-4187 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326675760 | Contemporary Wellness, LLC | Counselor | 4300 Commerce Court, Suite 300-9, Lisle, IL 60532 | 2020-03-25 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1598305849 | Peter Sismour | Counselor | 4603 Main Street, Lisle, IL 60532 | 2020-01-14 |
| 1336634856 | Forward Emotion, LLC | Counselor | 3060 Ogden Ave Ste 102, Lisle, IL 60532 | 2018-06-27 |
| 1801397179 | David Rodemaker | Psychologist | 1500 Eisenhower Lane, Suite 300, Lisle, IL 60532 | 2018-02-22 |
| 1801325139 | Naperville Psychological Associates LLC | Psychologist | 6010 S Route 59, Suite B, Lisle, IL 60532 | 2017-06-09 |
| 1831649730 | Paige Diesner | Physician Assistant | 430 Warrenville Rd., Ste 300, Lisle, IL 60532 | 2016-10-04 |
| 1174978860 | Lisa Schaedler | Social Worker | 4774 Hill Trail Rd Apt 2c, Lisle, IL 60532 | 2016-04-29 |
| 1831578962 | Farah Budd | Occupational Therapist | 748 Riedy Rd, Lisle, IL 60532 | 2015-05-21 |
| 1649602822 | Marie Ann Markham Gonzalez | Developmental Therapist | 5629 Dover Dr, Lisle, IL 60532 | 2013-07-30 |
| Find all providers in zip 60532 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902441603 | Jasmine Dominique Jones | Psychologist | 19041 Willow Ave, Country Club Hills, IL 60478-5740 | 2019-11-18 |
| 1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
| 1235647470 | Laurie Gayes Thompson | Psychologist | 225 E Chicago Ave # 2, Chicago, IL 60611-2991 | 2018-01-22 |
| 1558874891 | Claire Ashling Coyne | Psychologist | 225 E Chicago Ave # 10b, Chicago, IL 60611-2991 | 2017-11-08 |
| 1659721967 | Micah Ioffe | Psychologist | 1300 W Belmont Ave Ste 501, Chicago, IL 60657 | 2016-06-16 |
| 1609243856 | Humboldt Behavioral Health Group | Psychologist | 3317 W Le Moyne St, Chicago, IL 60651-2452 | 2015-08-24 |
| 1003156928 | Early Autism Project, Inc. | Psychologist | 599 Falling Waters Way, Lindenhurst, IL 60046-1703 | 2013-03-01 |
| 1659610491 | Alexandra M Psihogios | Psychologist | 1110 W Columbia Ave, Apt 1n, Chicago, IL 60626-4522 | 2013-02-13 |
| 1265781934 | Anthony Thomas Vesco | Psychologist | 225 E Chicago Ave # 10a, Chicago, IL 60611-2991 | 2012-09-10 |
| 1891044038 | Irma Porcic Khelghati | Psychologist | 1200 Harger Rd Ste 600, Oak Brook, IL 60523-1820 | 2012-09-04 |
| Find all providers with the same taxonomy | ||||
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| 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.