Diane Marie Mazzoni, MS, PPS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

2326 Issued in CA

Practice address

37479 Avenue 12
Madera, CA 93636-8726

Phone

(559) 645-3572

NPI assigned

Jun 5, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1003474818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17549 ROAD 36 1/2",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936369207",
            "telephone_number": "559-363-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37479 AVENUE 12",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368726",
            "telephone_number": "559-645-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZONI",
        "first_name": "DIANE",
        "middle_name": "MARIE",
        "credential": "MS, PPS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "2326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "91-2129526",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmazzoni@gvusd.org",
            "affiliation": "N",
            "endpointDescription": "district secure website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "37479 Avenue 12",
            "city": "Madera",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936368726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dana Lynn Mathews, FNP
• Sayonara Mato, MD, MPH&TM
• Rosalinda Miranda Mauricio, DDS
• Nourah Mazid, D.O.
• Gerard N Mazo, MD
• Michael Ray MC Kinney
• Nicole Paige McCann
• James M. McCarty, M.D.
• Richard Armond McCaster III
• Philip J McDonald, MD

• School Psychologist in Madera, CA
• Providers in Madera, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.