INGRID DIEDEREN PHD PA – NPI #1114229275
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

INGRID DIEDEREN PHD PA is an AHC clinic located in ASHEVILLE, NC. NPPES has assigned the NPI number 1114229275 to INGRID DIEDEREN PHD PA on November 23, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INGRID DIEDEREN PHD PA below.

NPI Profile for
INGRID DIEDEREN PHD PA

NPI Number
1114229275
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INGRID DIEDEREN PHD PA
Primary location
172 ASHELAND AVE
SUITE D
ASHEVILLE, NC 28801-4005
Phone: (828) 253-1445 Fax: (828) 253-1456
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
INGRID DIEDEREN
PRESIDENT
Phone: (828) 253-1445
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)
NC 1376

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.