DIANE EDEN, MD, INC (NPI# 1649432451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649432451 |
| Entity Type | Organization |
| Organization Name | DIANE EDEN, MD, INC |
| Practice Address |
35000 Chardon Rd 210 Willoughby OH 44094-9012 |
| Practice Telephone | 4409515600 |
| Practice Fax Number | 4409511293 |
| Mailing Telephone | 4409515600 |
| Mailing Fax Number | 4409511293 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | DIANE HOLLY EDEN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4409515600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
Behavioral Health & Social Service Providers |
| Street Address |
35000 CHARDON RD 210 |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-9012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962665943 | Julie L Lamarco | Counselor | 35000 Chardon Rd, 210, Willoughby, OH 44094-9012 | 2008-07-09 |
| 1962679639 | Catherine Jeanne Volkmer | Counselor | 35000 Chardon Rd, 210, Willoughby, OH 44094-9012 | 2008-05-13 |
| 1790996726 | Christopher C James | Psychiatry & Neurology | 35000 Chardon Rd, 210, Willoughby, OH 44094-9012 | 2007-05-24 |
| 1356491591 | Kathryn L Raven | Counselor | 35000 Chardon Rd, Suite 210, Willoughby, OH 44094-9012 | 2007-01-11 |
| 1851491005 | Wayne Leach | Social Worker | 35000 Chardon Rd, Suite 210, Willoughby, OH 44094-9012 | 2006-09-25 |
| 1164447074 | Danita Battle | Social Worker | 35000 Chardon Rd, 210, Willoughby, OH 44094-9012 | 2006-07-12 |
| 1093779837 | Alicia Rose Thomas | Counselor | 35000 Chardon Rd, #210, Willoughby, OH 44094-9012 | 2006-04-17 |
| 1427012269 | Barbara Levine | Social Worker | 35000 Chardon Rd, 210, Willoughby, OH 44094-9012 | 2006-04-17 |
| 1700849536 | Shari Ridge | Psychologist | 35000 Chardon Rd, 210, Willoughby, OH 44094-9012 | 2006-04-11 |
| 1306809488 | Roula K Kontos | Social Worker | 35000 Chardon Rd, 210, Willoughby, OH 44094-9012 | 2006-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265743991 | New Day Counseling and Psychiatric Services, Inc. | Psychologist | 4550 Belden Village St Nw, Suite 606, Canton, OH 44718-2524 | 2010-06-28 |
| 1225219272 | Kalpana Vishnupad, LLC | Psychologist | 1458 Clear Brook Dr, Dayton, OH 45440-4317 | 2007-11-19 |
| 1164633616 | Margaret G. Smith | Psychologist | 181 Thurman Ave, Columbus, OH 43206-2629 | 2007-05-25 |
| 1851842363 | Melchor L. Mercado M.d. A Professional Corporation | Psychologist | 1250 Ralston Ave, Defiance, OH 43512-5311 | 2016-10-19 |
| 1619143237 | Latosh Consulting Services Inc | Psychologist | 1614 S Byrne Rd, Suite Aa, Toledo, OH 43614-3464 | 2008-05-03 |
| 1639341589 | Maumee Valley Guidance Center | Psychologist | 211 Biede Ave, Defiance, OH 43512-2408 | 2008-04-01 |
| 1609092535 | Karen M. Taylor | Psychologist | 450 W Wilson Bridge Rd, Suuite 350, Worthington, OH 43085-2237 | 2007-04-18 |
| 1033219225 | North Coast Mental Health Associates Inc. | Psychologist | 3690 Orange Pl, 430, Beachwood, OH 44122-4464 | 2006-09-25 |
| City | WILLOUGHBY |
| Zip Code | 44094 |
Please comment or provide details below to improve the information on DIANE EDEN, MD, INC.
| 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.