Ellen Diamond

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071004187 Issued in IL

Legal business name

ELLEN DIAMOND

Practice address

1866 Sheridan Rd Ste 207
Highland Park, IL 60035-2545

Phone

(847) 433-3815

Fax

(847) 433-3203

NPI assigned

May 14, 2012

Organization subpart

No

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

Authorized official

Name

Lana Moshkovich

Title

CMM, CPC,Cemp

Phone

(847) 904-7500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Diamond, PSY. D.

  • Clinical Psychologist
  • Highland Park, IL
  • NPI 1285744078
  NPD (past)

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1013276880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 SHERIDAN RD STE 207",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352545",
            "telephone_number": "847-433-3815",
            "fax_number": "847-433-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 SHERIDAN RD STE 207",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352545",
            "telephone_number": "847-433-3815",
            "fax_number": "847-433-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN DIAMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "MOSHKOVICH",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "CMM, CPC,CEMP",
        "authorized_official_telephone_number": "847-904-7500"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071004187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Economy
• Richard F. Egan, D.D.S.
• Daniel M Eisenstein, M.D.
• Tiffany Eiserman, LPC
• Elizabeth Miller Counseling PLLC
• Chelsea Ellis, PT
• Elm Tree Therapy, PLLC.
• Alina Elperin, M.D.
• Lindsay Earon Emalfarb, LCSW
• Lisa Emerzian

• Psychologist in Highland Park, IL
• Providers in Highland Park, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.