Diane Dettmore
Nurse Practitioner - Psych/Mental Health | 12+ years Exp
1340 Hamburg Tpke, Wayne
New Jersey, 07470-4003
973-633-1996
Diane Dettmore is a Wayne, New Jersey based nurse practitioner with 12 years of experience in Psych/Mental Health. She completed her graduation in 2013. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Diane Dettmore is 26NJ00456900 for Psych/Mental Health in New Jersey. Her current practice location is 1340 Hamburg Tpke, Wayne. Patients can reach her at 973-633-1996 with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1285045757.
Diane Dettmore provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Diane Dettmore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Diane Dettmore |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Experience: | 12+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2013 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1340 Hamburg Tpke, Wayne,
New Jersey, 07470-4003 |
| Phone: | 973-633-1996 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4385862044 |
| Enrollment ID: | I20140822000220 |
| NPI Number: | 1285045757 |
| NPI Enumeration Date: | 18 May, 2014 |
| NPI Last Update On: | 18 May, 2014 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Diane Dettmore are as mentioned below.
| License Number | Specialization | State | Status | |
| 26NJ00456900 | Psych/Mental Health | New Jersey | Primary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Diane Dettmore is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Kashoqa Psychiatry Associates Pc (8921279472) | 4 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Diane Dettmore
57 Montross Ave,
Rutherford, New Jersey |
| Zip: | 07070-1147 |
| Phone Number: | 551-206-9812 |
Patients can reach Diane Dettmore at
1340 Hamburg Tpke, Wayne, New Jersey or can
call to book an appointment on 973-633-1996.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.