Active NPI
Madalynne Diaz
- Clinical Child & Adolescent Psychologist
- Sacramento, CA
National Provider Identifier
1093340713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 9470 Micron Ave
Sacramento, CA 95827-2612 - Phone
- (916) 337-9842
- NPI assigned
- Mar 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
9470 Micron Ave
Sacramento, CA 95827-2612
Mailing address
9470 Micron Ave
Sacramento, CA 95827-2612
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Sacramento | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1093340713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9470 MICRON AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9470 MICRON AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272612",
"telephone_number": "916-337-9842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "MADALYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-04",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Sacramento",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9470 Micron Ave",
"city": "Sacramento",
"state": "CA",
"country_code": "US",
"postal_code": "958272612",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.