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DIANE GOTTLIEB MD
NPI 1124017082
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Active since October 13, 2005
2900 W QUEEN LN, SUITE 221H, PHILADELPHIA, PA 19129(215) 991-8532(215) 843-5495 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diane Gottlieb Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANE GOTTLIEB MD (NPI 1124017082) is an individual psychiatry provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD064466L) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1124017082
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDIANE GOTTLIEBCredential: MD
Location Address2900 W QUEEN LN, SUITE 221HPhiladelphia, PA 19129-1033
Mailing Address2900 W Queen Ln, Suite 221hPhiladelphia, PA 19129-1033 · (215) 991-8532 · Fax (215) 843-5495
Phone(215) 991-8532
Fax(215) 843-5495
Sole ProprietorNo
Enumeration DateOctober 13, 2005
Last NPPES UpdateMay 14, 2008
✔ NPI 1124017082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD064466L
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.
2900 W QUEEN LN, Philadelphia, PA 19129
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Other Identifiers 3

Medicare ID-Type Unspecified039756
Medicare UPINF80669
Medicaid0018303020006PA

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANN MARIE MASIELLO
Student in an Organized Health Care Education/Training Program
2900 W QUEEN LN
PHILADELPHIA, PA 19129
Philadelphia County (908) 420-7516
MR. ATHAN GEORGE ZAVRAS BA
Student in an Organized Health Care Education/Training Program
2900 W QUEEN LN
PHILADELPHIA, PA 19129
Philadelphia County (215) 991-8100
ALEXANDRA R PORTUGUES MS
Student in an Organized Health Care Education/Training Program
2900 W QUEEN LN
PHILADELPHIA, PA 19129
Philadelphia County (215) 991-8202
BARRY DEROSE MS
Student in an Organized Health Care Education/Training Program
2900 W QUEEN LN
PHILADELPHIA, PA 19129
Philadelphia County (215) 991-8100
JOHN ALBERT JANOSEVIC
Student in an Organized Health Care Education/Training Program
2900 W QUEEN LN
PHILADELPHIA, PA 19129
Philadelphia County (215) 991-8202
NICOLE MAURER
Surgery
2900 W QUEEN LN
PHILADELPHIA, PA 19129
Philadelphia County (215) 991-8100
ERIK LI
Student in an Organized Health Care Education/Training Program
2900 W QUEEN LN
PHILADELPHIA, PA 19129
Philadelphia County (301) 818-2133

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Gottlieb's NPI number?

The NPI number for Diane Gottlieb is 1124017082. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Diane Gottlieb located?

Diane Gottlieb practices at 2900 W Queen Ln Suite 221H, Philadelphia, PA 19129. The listed phone number is (215) 991-8532.

What is Diane Gottlieb's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Diane Gottlieb was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.