DR. DIANA HOLBERG GORDICK (NPI# 1356672331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356672331 |
| Entity Type | Individual |
| Full Name | DR. DIANA HOLBERG GORDICK |
| Credential | PH.D. |
| Practice Address |
150 E Ponce De Leon Ave Suite 350 Decatur GA 30030-2543 |
| Mailing Address |
Po Box 3405 Decatur GA 30031-3405 |
| Practice Telephone | 4049852732 |
| Mailing Telephone | 4049852732 |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2014-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
2739 | GA | Behavioral Health & Social Service Providers |
| Street Address |
150 E PONCE DE LEON AVE SUITE 350 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710086392 | Louise Cording, Ph.d., P.C. | Psychologist | 150 E Ponce De Leon Ave, Suite 360, Decatur, GA 30030-2543 | 2006-09-21 |
| 1073852950 | Joanna Colrain | Counselor | 150 E Ponce De Leon Ave, Suite 350, Decatur, GA 30030-2543 | 2013-02-12 |
| 1457603680 | Avery Jay Beard | Psychologist | 150 E Ponce De Leon Ave, Suite 255, Decatur, GA 30030-2543 | 2012-10-11 |
| 1750523056 | Total Sleep Diagnostics, Inc. | Clinic/Center | 150 E Ponce De Leon Ave, Ste 235, Decatur, GA 30030-2543 | 2009-04-01 |
| 1326226861 | Rosalind M Mance | Psychiatry & Neurology | 150 E Ponce De Leon Ave, Suite 350, Decatur, GA 30030-2543 | 2008-02-06 |
| 1720200504 | Haig Yardumian | Internal Medicine | 150 E Ponce De Leon Ave, Suite 120, Decatur, GA 30030-2543 | 2007-05-02 |
| 1801911334 | Hagop Youssoufian | Internal Medicine | 150 E Ponce De Leon Ave, Suite 120, Decatur, GA 30030-2543 | 2007-03-21 |
| 1407989742 | Kshama Jawalekar | Radiology | 150 E Ponce De Leon Ave, Suite 120, Decatur, GA 30030-2543 | 2007-03-14 |
| 1598825796 | Joel Carter | Radiology | 150 E Ponce De Leon Ave, Suite 220, Decatur, GA 30030-2543 | 2006-12-11 |
| 1811067838 | Frederick Augustine Deigert | Radiology | 150 E Ponce De Leon Ave, Suite 220, Decatur, GA 30030-2543 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598098949 | Lynyetta G Willis | Psychologist | 308 Clairemont Ave, Decatur, GA 30030-2506 | 2009-09-16 |
| 1619177409 | Shirley Jean Jordan | Psychologist | 506 N Miller St, Decatur, TX 76234-1114 | 2007-07-20 |
| 1245285295 | Mark Jacob | Psychologist | 801 Church Street, Suite 1, Decatur, AL 35602 | 2006-05-24 |
| 1952393308 | Michal Ann O'leary | Psychologist | 1945 Mason Mill Rd, Suite 100, Decatur, GA 30033-4006 | 2005-08-20 |
| 1548269418 | Cynthia Kay Valley | Psychologist | 1549 Clairmont Rd, Suite 108, Decatur, GA 30033-4639 | 2005-07-21 |
| 1841807591 | Mallorie Gayle Carroll | Psychologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-09-28 |
| 1164036570 | Rachel Heatherly | Psychologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2020-09-02 |
| 1033462486 | Karuna Counseling, Inc. | Psychologist | 1945 Mason Mill Rd Ste 100, Decatur, GA 30033-4075 | 2012-10-23 |
| 1093087876 | Kathryn Ganske | Psychologist | 1549 Clairmont Rd, Suite 108, Decatur, GA 30033-4639 | 2012-02-08 |
| 1073807608 | Alaycia Deneen Reid | Psychologist | 315 W Ponce De Leon Ave, Decatur Court, Suite 552, Decatur, GA 30030-2400 | 2011-05-31 |
| Find all providers in DECATUR | ||||
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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.