DR. DIANE T GOTTLIEB MSW, PH.D. - NPI 1982775763 - Psychologist in Burlington, VT

Q: What is Diane Gottlieb's NPI number?

The NPI number for Diane Gottlieb is 1982775763. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Diane Gottlieb's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Diane Gottlieb was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Diane T Gottlieb Msw, Ph.d. NPPES

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

DR. DIANE T GOTTLIEB MSW, PH.D. (NPI 1982775763) is an individual clinical provider in Burlington, Vermont, licensed in Vermont (478) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1982775763

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DIANE T GOTTLIEBCredential: MSW, PH.D.

Location Address187 SAINT PAUL ST, SUITE 2Burlington, VT 05401-4689

Mailing Address187 Saint Paul St, Suite 2Burlington, VT 05401-4689 · (802) 863-2495 · Fax (802) 865-0534

Phone(802) 863-2495

Fax(802) 865-0534

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateNovember 13, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1982775763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VT · 478

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

187 SAINT PAUL ST, Burlington, VT 05401

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Other Identifiers 9

Other011764VT · Tricare Value Options

Medicare ID-Type UnspecifiedVT9696VT · Medicare Provider Id

Other108058VT · United Behavioral Health

Medicaid1003835VT

Other223960VT · Compsych

Other01260007MA · Magellen Mass

OtherT000511VT · Champus Tricare

Other64071VT · Cigna

Other8064VT · Bc And Bs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Diane T Gottlieb Msw, Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749364545

PECOS Enrollment IDI20080303000357

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.48 typical visit price

range $55.80 – $168.48

Typical copayment $42.12 (range $13.95 – $42.12)

Most-billed visit code 99205

Established Patient

$98.40 typical visit price

range $18.08 – $137.84

Typical copayment $24.60 (range $4.52 – $34.46)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.