Diversified Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DIVERSIFIED PSYCHOLOGICAL SERVICES

Practice address

1508 W Fairmont St
Suite C
Longview, TX 75604-6303

Phone

(903) 238-9553

Fax

(903) 291-8709

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Steve C KnowlesNPI 1740308980

Title

Office Manager

Phone

(903) 238-9553

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Steve C Knowles, LPC

  • Professional Counselor
  • Longview, TX
  • NPI 1740308980
  NPD Authorized official

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1043431489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9062",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756089062",
            "telephone_number": "903-238-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 W FAIRMONT ST",
            "address_2": "SUITE C",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756046303",
            "telephone_number": "903-238-9553",
            "fax_number": "903-291-8709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-238-9553"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00145N",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079990001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lois Ann Dietrich, PT
• Callie Dimond, LPC ASSOCIATE
• John T Dipasquale, MD
• Scott Edward Distefano, DDS
• Distinct Home Health Care Inc (Rotech)
• Gavyn Shea Diviney, FNP-C
• Ashley Renee' Dixon, CRNA
• CH'Via Minyon Dixon
• Chevell Dixon
• DME Innovators, LLC (A1 Medical Equipment & Supplies)

• Clinical Psychologist in Longview, TX
• Providers in Longview, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.