DR. KENNETH W DIEHL JR. (NPI# 1285653949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285653949 |
| Entity Type | Individual |
| Full Name | DR. KENNETH W DIEHL JR. |
| Credential | PSYD |
| Practice Address |
1001 Cromwell Bridge Rd Suite 308 Baltimore MD 21286-3300 |
| Mailing Address |
7518 Knollwood Rd Baltimore MD 21286-7931 |
| Practice Telephone | 4103376760 |
| Practice Fax Number | 4103376760 |
| Mailing Telephone | 4108252281 |
| Mailing Fax Number | 4108250757 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-03-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 01018 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396841300 | Kenneth Lee Diehl | Physical Therapist | 75-5699 Kopiko St, Kailua Kona, HI 96740-1668 | 2006-09-16 |
| Street Address |
1001 CROMWELL BRIDGE RD SUITE 308 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21286-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912389032 | Alexandria Luxon | Social Worker | 1001 Cromwell Bridge Rd, Suite 212, Baltimore, MD 21286-3300 | 2015-06-25 |
| 1851771463 | Tylynn Carter | Counselor | 1001 Cromwell Bridge Rd, Suite 212, Baltimore, MD 21286-3300 | 2015-06-09 |
| 1801205919 | Dana Latoya Brown | Counselor | 1001 Cromwell Bridge Rd, Ste 212, Baltimore, MD 21286-3300 | 2014-08-04 |
| 1629481122 | Erika Roush | Social Worker | 1001 Cromwell Bridge Rd, Baltimore, MD 21286-3300 | 2014-06-03 |
| 1700129319 | Melanie Lyles-williams | Social Worker | 1001 Cromwell Bridge Rd, Suite 212, Baltimore, MD 21286-3300 | 2013-04-02 |
| 1538453105 | David R Burnham | Physical Therapist | 1001 Cromwell Bridge Rd, Suite 300, Third Floor, Baltimore, MD 21286-3300 | 2011-06-01 |
| 1881841369 | Paula Moylan Lcpc Pa | Counselor | 1001 Cromwell Bridge Rd, 308, Baltimore, MD 21286-3300 | 2008-08-26 |
| 1043425051 | Paula Moylan | Counselor | 1001 Cromwell Bridge Rd, Suite 308, Baltimore, MD 21286-3300 | 2007-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989042 | Osereme Nora Agboifo | Nurse Practitioner | 200 Ejoppa Rd Suite 106, Townson, MD 21286 | 2020-10-09 |
| 1801434543 | Bh Brightview Towson Opco, LLC | Alzheimer Center (Dementia Center) | 20 E. Burke Avenue, Baltimore, MD 21286 | 2019-12-12 |
| 1417598897 | Tyler Tuggle | Home Health Aide | 8601 Lasalle Rd., Suite 100, Towson, MD 21286 | 2019-10-07 |
| 1285289629 | Center for Creative Values Inc | Community/Behavioral Health | 515 E. Joppa Rd Suite 100 & 104, Towson, MD 21286 | 2019-08-02 |
| 1275195117 | Watermark Health Services | Chore Provider | 1045 Taylor Avenue Suite 106e, Towson, MD 21286 | 2019-07-01 |
| 1609337021 | Tyler James Howard | Psychologist | 8600 Lasalle Road Carroll Building, Suite 212, Towson, MD 21286 | 2019-03-28 |
| 1477019578 | Ruth Marie Collins | Counselor | 8501 Lasalle Rd., Suite 115, Towson, MD 21286 | 2019-02-13 |
| 1396200671 | Christian Dorry | Behavior Technician | Epic Developmental Services, 1026 Cromwell Bridge Rd, Towson, MD 21286 | 2019-01-31 |
| 1831667799 | Casey O'sullivan | Counselor | 1220 E. Joppa Rd., Bldg B, Ste 332, Towson, MD 21286 | 2018-11-08 |
| 1649763053 | Rosemary O Okpulor | Nurse Practitioner | 8510 Lasalle Rd, Suite 310, Towson, MD 21286 | 2018-06-11 |
| Find all providers in zip 21286 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020543 | Virginia Samford Hornbeck | Psychologist | 1400 W Cold Spring Ln, Baltimore, MD 21209-4904 | 2019-06-04 |
| 1427615822 | Elana Rachel Kagan | Psychologist | 1750 East Fairmont Ave, Baltimore, MD 21231 | 2019-05-22 |
| 1891218947 | Sahar Moise | Psychologist | 1708 West Rogers Avenue, Baltimore, MD 21209-4596 | 2017-07-20 |
| 1447787734 | Brittany Renee Patterson | Psychologist | 737 West Lombard St., Baltimore, MD 21201-2120 | 2017-05-17 |
| 1861845224 | Andrea Goddard | Psychologist | 720 Aliceanna Street, Baltimore, MD 21202 | 2016-07-20 |
| 1164870614 | Shauna Lynne | Psychologist | 1750 E Fairmount Ave Fl 4, Baltimore, MD 21231-1534 | 2016-05-25 |
| 1073985081 | Denise Bike | Psychologist | 600 Wyndhurst Ave Ste 200-a, Baltimore, MD 21210-2489 | 2015-10-29 |
| 1982087003 | Rachel Cymber Lafleur | Psychologist | 711 W 40th St # 153-363, Baltimore, MD 21211-2120 | 2015-07-07 |
| 1346639713 | Eboka Mullins | Psychologist | 419 W Redwood St Ste 570, Baltimore, MD 21201-7023 | 2015-01-22 |
| 1306251202 | Clare Gibson | Psychologist | 2240 East Baltimore St, Baltimore, MD 21231 | 2014-06-30 |
| Find all providers in BALTIMORE | ||||
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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.