Diane Diaz Rodriguez, IMH 14439

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH 14439 Issued in FL

Practice address

167 Ridgemont Cir SE
Palm Bay, FL 32909-2318

Phone

(850) 313-6207

NPI assigned

Mar 8, 2016

Last updated

Mar 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1093176893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 MAITLAND CENTER COMMONS BLVD STE 212",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517270",
            "telephone_number": "850-313-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 RIDGEMONT CIR SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329092318",
            "telephone_number": "850-313-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DIANE",
        "middle_name": "DIAZ",
        "name_prefix": "Mrs.",
        "credential": "IMH 14439",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 14439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leona Anntonette Robinson-Pierre
• Arlette A. Urbina Robleto, COTA
• Tiffany Gomes Rodrigues, LMT, MMP
• Yuderky Rodriguez Denis
• Chavely Rodriguez
• Janice Rodriguez
• Jessica Rodriguez, LCSW
• Jose Rodriguez, ARNP
• Yahira Rodriguez, RN, BSN
• Hope Deserae Rodwell, RBT

• Mental Health Counselor in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.