DR. DIANA J ANTONACCI


Address: 905 Johns Hopkins Dr, Ecu Physicians Psychiatric Medicine- Outpatient Clinic, Greenville, NC 27834-7225
Phone: 2527441406

DR. DIANA J ANTONACCI (NPI# 1114923620) 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) 1114923620
Entity Type Individual
Full Name DR. DIANA J ANTONACCI
Credential M.D.
Practice Address 905 Johns Hopkins Dr
Ecu Physicians Psychiatric Medicine- Outpatient Clinic
Greenville
NC 27834-7225
Mailing Address Po Box 751069
Charlotte
NC 28275-1069
Practice Telephone 2527441406
Practice Fax Number 2527442419
Mailing Telephone 2527443520
Mailing Fax Number 2527443194
Enumeration Date 2005-06-21
Last Update Date 2011-10-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
27355 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC BCBS NC 11625 01
NC 8911625 05
NC RAILROAD MEDICARE 260032395 01

Office Location

Street Address 905 JOHNS HOPKINS DR
ECU PHYSICIANS PSYCHIATRIC MEDICINE- OUTPATIENT CLINIC
City GREENVILLE
State NC
Zip Code 27834-7225

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932706421 Twanna T Hill Registered Nurse 905 Johns Hopkins Dr, Greenville, NC 27834-2056 2020-10-07
1962912253 Matthew A Wilson General Practice 905 Johns Hopkins Dr, Greenville, NC 27834-2056 2017-10-02
1306371893 Amrish Tulsi Pipalia Student in an Organized Health Care Education/Training Program 905 Johns Hopkins Dr, Greenville, NC 27834-2056 2017-04-22
1073965349 Samantha Karlene Brown Cunningham Psychologist 905 Johns Hopkins Dr, Ecu Physicians Psychiatry, Greenville, NC 27834-2056 2016-07-11
1023464195 Elham Rahmani Psychiatry & Neurology 905 Johns Hopkins Dr, Greenville, NC 27834-2056 2016-05-09
1124408190 Richelle Lafaye Smallwood Social Worker 905 Johns Hopkins Dr, Greenville, NC 27834-2056 2015-06-04
1205233426 Ashley Joi Britton Psychologist 905 Johns Hopkins Dr, Greenville, NC 27834-2056 2014-12-03
1821421876 Ecu Telepsychiatry Center Psychiatry & Neurology 905 Johns Hopkins Dr, Greenville, NC 27834-2056 2013-08-14
1811245947 Lindsay Susan Price Social Worker 905 Johns Hopkins Dr, Greenville, NC 27834-2056 2012-08-21
1508123795 Irene Savvas Pastis Psychiatry & Neurology 905 Johns Hopkins Dr, Greenville, NC 27834-2056 2012-04-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841801255 Nicholas Mcarthur Bennett Day Training, Developmentally Disabled Services 302 C, Greenville, NC 27834 2020-08-11
1275150245 Shelby Renee Jones Student in an Organized Health Care Education/Training Program East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 2020-06-25
1194347138 Soban Ahmad Student in an Organized Health Care Education/Training Program 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 2020-05-13
1427687789 Brandon Allen Yates Student in an Organized Health Care Education/Training Program 435 Clinic Drive, Greenville, NC 27834 2020-04-07
1144854407 Kristen Springer Dreyfus Marriage & Family Therapist 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 2020-02-26
1861038606 Southern Surgical Outpatient Surgery Center, Pa Clinic/Center 2457 Emerald Place, Greenville, NC 27834 2019-11-26
1003460569 Shaun Fitzpatrick Nurse Practitioner Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 2019-08-01
1649831496 Katherine Salome Ross Genetic Counselor, MS 524 Moye Blvd, Greenville, NC 27834 2019-06-24
1477011880 Lauren Bethune Scroggs Counselor 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 2019-03-05
1669998001 Idella's Care Home Community/Behavioral Health 2912 Lee Ct # 9a, Greenville, NC 27834 2017-08-17
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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
1518591858 Awakenings Psychiatric Services, PC Psychiatry & Neurology 1010 E North St Ste 1a, Greenville, SC 29601-3166 2020-02-25
1386192540 Arc Psychiatry LLC Psychiatry & Neurology 96 Villa Rd, Greenville, SC 29615-3052 2016-09-16
1467863506 Allison Mcdade Psychiatry & Neurology 2710 Sunset Strip Ste D, Greenville, TX 75402 2014-05-12
1457681025 Woodlands Medical Clinic Pa Psychiatry & Neurology 155 Brozzini Ct, Suite E, Greenville, SC 29615-5340 2010-01-05
1235367822 Elizabeth Jo Mason Psychiatry & Neurology 200 Patewood Dr Ste A100, Greenville, SC 29615 2009-06-23
1972730166 Raza H. Sayed Md, Pa Psychiatry & Neurology 301east Division St, Greenville, TX 75401-4101 2009-06-16
1972738458 Lance Feldman Psychiatry & Neurology 10 Patewood Dr, Suite 130, Greenville, SC 29615-6317 2009-05-27
1497989842 The Family Wellness Center Pllc Psychiatry & Neurology 1025b Director Ct, Greenville, NC 27858-5996 2009-05-13
1699975102 Nadyah Janine John Psychiatry & Neurology 905 Johns Hopkins Dr., Ecu Physicians Psychiatric Medicine, Greenville, NC 27834-7225 2007-07-23
1295930964 Poinsett Psychiatric Group Psychiatry & Neurology 3c Cleveland Ct, Greenville, SC 29607-2414 2007-06-20
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Competitor

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City GREENVILLE
Zip Code 27834

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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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