Diane Rose Abdo, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY003959 Issued in FL

Practice address

398 Camino Gardens Blvd
Suite 106
Boca Raton, FL 33432-5827

Phone

(561) 393-5363

Fax

(561) 361-6706

NPI assigned

Jan 5, 2007

Last updated

Sep 7, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Diane Abdo Psy D PA

  • Clinical Psychologist
  • Boca Raton, FL
  • NPI 1831429695
  Authorized official Same address or phone
• Mind Care Inc.

  • Clinic/Center
  • Boca Raton, FL
  • NPI 1396984258
  NPD (past) Authorized official

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1043368350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7673 SIERRA TER W",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333315",
            "telephone_number": "561-393-5363",
            "fax_number": "561-361-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 CAMINO GARDENS BLVD",
            "address_2": "SUITE 106",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325827",
            "telephone_number": "561-393-5363",
            "fax_number": "561-361-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDO",
        "first_name": "DIANE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY003959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Randy Abella, P.T.
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• Prosper Abitbol, DO
• Able Home Health, Inc

• Psychologist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.