Dianna Nicole Yphantides, LSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

44SL06487900 Issued in NJ

Practice address

4 Forest Ave
Paramus, NJ 07652-5237

Phone

(973) 922-0310

NPI assigned

Apr 12, 2021

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1093395105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35-06 HIGH ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105219",
            "telephone_number": "201-663-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FOREST AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525237",
            "telephone_number": "973-922-0310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Eisenhower Dr",
            "address_purpose": "LOCATION",
            "city": "Paramus",
            "state": "NJ",
            "postal_code": "076521404",
            "country_code": "US",
            "telephone_number": "201-663-0419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YPHANTIDES",
        "first_name": "DIANNA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NJ",
            "license": "44SL06487900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Young
• Your Food Nutrition Coach, LLC
• Javed Muhammad Yousaf, M.D.
• Apo Youssef
• Youth Development SVCS
• Helen Yu, OD
• Charles Yuk, PHARM.D.
• Zaa Medical Associates LLC
• Jai-Marie Zacco, APN
• Zahra Shafaee, MD, PC

• Counselor in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.