DIANA MORELEN (NPI# 1508302878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508302878 |
| Entity Type | Individual |
| Full Name | DIANA MORELEN |
| Credential | PHD |
| Practice Address |
1193 Jack Vest Dr Johnson City TN 37614-6505 |
| Mailing Address |
1193 Jack Vest Dr Po Box 70416 Johnson City TN 37614-6505 |
| Practice Telephone | 4234397777 |
| Mailing Telephone | 4234397777 |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P0000003421 | TN | Behavioral Health & Social Service Providers |
| Street Address |
1193 JACK VEST DR |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37614-6505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548692692 | Jason Lee Steadman | Psychologist | 1193 Jack Vest Dr, Behavioral Health and Wellness Clinic, Johnson City, TN 37614-6505 | 2013-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061887 | Jessica Marie Robinson | Pharmacist | Maple Avenue Building 7, Johnson City, TN 37614 | 2020-07-31 |
| 1881220697 | Rachel Miller Slough | Psychologist | 801 S Dossett Drive, Johnson City, TN 37614 | 2020-03-13 |
| 1326682493 | Yoshihiro Kojima | Specialist/Technologist | 127 W John Robert Bill Dr, Johnson City, TN 37614 | 2019-11-01 |
| 1205360104 | Charlotte Lynn Alexander | Student in an Organized Health Care Education/Training Program | Department of Obstetrics and Gynecology, 70569, Qcom Building 1, Room 307, Johnson City, TN 37614 | 2017-04-18 |
| 1679006787 | Joel Whipple | Student in an Organized Health Care Education/Training Program | Etsu - Building 1, 2nd Floor, Johnson City, TN 37614 | 2017-04-05 |
| 1497295711 | Charles Faust | Dental Hygienist | 1276 Gilbreath Dr, Johnson City, TN 37614 | 2017-03-06 |
| 1265889414 | Dyan Darang | Student in an Organized Health Care Education/Training Program | Etsu, Quillen College of Medicine, Psychiatry Residency Program, Box 70567, Johnson City, TN 37614 | 2016-05-18 |
| 1194170142 | Katharine Ann Lasher | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, Dogwood Ave, Building 1, Rm 249, East Tennessee State Univ. Quillen College of Medicine, Johnson City, TN 37614 | 2016-04-27 |
| 1992150189 | Nishika Shina Moradia | Student in an Organized Health Care Education/Training Program | East Tennessee State University Quillen College of Medi, Dogwood Ave, Building 1, Room 249, Johnson City, TN 37614 | 2016-04-26 |
| 1962884429 | Apurva Bansal | Student in an Organized Health Care Education/Training Program | 325 North State of Franklin, Johnson City, TN 37614 | 2015-06-22 |
| Find all providers in zip 37614 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881220697 | Rachel Miller Slough | Psychologist | 801 S Dossett Drive, Johnson City, TN 37614 | 2020-03-13 |
| 1548692692 | Jason Lee Steadman | Psychologist | 1193 Jack Vest Dr, Behavioral Health and Wellness Clinic, Johnson City, TN 37614-6505 | 2013-07-31 |
| 1649345208 | Matthew David Johnson | Psychologist | 240 Riverside Dr Ste 2, Johnson City, NY 13790-2732 | 2006-11-21 |
| 1588670210 | Stephen L. Owens | Psychologist | 302 Sunset Dr Ste 106, Johnson City, TN 37604-2408 | 2006-08-01 |
| 1467476150 | Tedd A Stephens | Psychologist | 2112 N Roan St Fl 6, Johnson City, TN 37601-2519 | 2006-07-26 |
| 1790717411 | Nancy L Lanthorn | Psychologist | 704 E Watauga Ave, Johnson City, TN 37601-4112 | 2006-07-06 |
| 1811960644 | Kerry L. Holland | Psychologist | 807 University Pkwy, 139 Lucille Clement Hall, Johnson City, TN 37614-6500 | 2006-02-10 |
| 1760464937 | Heather L Beaudry | Psychologist | 1907 N Roan St Ste 207, Johnson City, TN 37601-3182 | 2005-11-15 |
| 1770197766 | Mary Ann Moore | Psychologist | 679 Main St, Johnson City, NY 13790-1716 | 2020-09-07 |
| 1184232605 | Bess Summerlin Lewis | Psychologist | Lamont St & Veterans Way, Johnson City, TN 37604 | 2020-07-21 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37614 |
Please comment or provide details below to improve the information on DIANA MORELEN.
| 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.