Active NPI
Diana Lowry Havill, MD
- Psychiatry Physician
- Woodland Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 167486
- Practice address
- 6200 Canoga Ave Ste 350
Woodland Hills, CA 91367-7782 - Phone
- (818) 528-6165
- Fax
- (818) 405-2221
- NPI assigned
- Jan 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 52425 | AZ | |
| Psychiatry Physician | 2084P0800X | D0068425 | MD | |
| Psychiatry Physician | 2084P0800X | 167486 | CA | Primary |
Addresses
Primary practice location
6200 Canoga Ave Ste 350
Woodland Hills, CA 91367-7782
Mailing address
6200 Canoga Ave Ste 350
Woodland Hills, CA 91367-7782
Phone (818) 528-6165
Other practice location 1
8872 S Eastern Ave
Suite 250
Las Vegas, NV 89123-4900
Phone (702) 912-5872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1805 Medical Ctr Dr
San Bernardino, CA 92411-1217
Phone (818) 518-9715
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167486 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| D0068425 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Multi-Specialty | Current | Accepting new patients |
| Lifewell Behavioral Wellness | Current | Accepting new patients | |
| District Medical Group, Inc | Multi-Specialty | Current | Accepting new patients |
| District Medical Group, Inc | Multi-Specialty | Current | Accepting new patients |
| Pacific Heritage Medical Group Inc | Multi-Specialty | Current | Accepting new patients |
| Lifewell Behavioral Wellness | Past | Accepting new patients | |
| Oakwood Creative Care Inc. | Multi-Specialty | Past | Accepting new patients |
| District Medical Group, Inc | Multi-Specialty | Past | Accepting new patients |
Locations
570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000
2311 W Royal Palm Rd
Phoenix, AZ 85021
Phone (602) 269-5300
10844 N 23rd Ave
Ste 200
Phoenix, AZ 85029
Phone (602) 353-2340
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333
3625 E Thousand Oaks Blvd
Ste 232
Westlake Village, CA 91362
Phone (818) 518-9715
Interoperability endpoints
- dhavill190318@direct.valleywisehealth.org
- diana.havillmd.p1@direct.lifewell.nextgenshare.com
- diana.havill.p1@direct.famdoc.nextgenshare.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Psychiatry Physician
- Westlake Village, CA
- NPI 1467899450
Multi-Specialty
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
Multi-Specialty
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1982191284
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1720330194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1003053307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 CANOGA AVE STE 350",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677782",
"telephone_number": "818-528-6165",
"fax_number": "866-405-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 CANOGA AVE STE 350",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913677782",
"telephone_number": "818-528-6165",
"fax_number": "818-405-2221"
}
],
"practiceLocations": [
{
"address_1": "8872 S Eastern Ave",
"address_2": "Suite 250",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891234900",
"country_code": "US",
"telephone_number": "702-912-5872",
"fax_number": "702-912-5099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAVILL",
"first_name": "DIANA",
"middle_name": "LOWRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-08",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "52425",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D0068425",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "167486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.