Diana S Poulson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC34244 Issued in CA

Practice address

7765 Healdsburg Ave
Sebastopol, CA 95472-3309

Phone

(707) 824-4782

NPI assigned

Mar 18, 2010

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Psych Strategies Inc a Psychological Corp

  dba PsychStrategies

  • Psychologist
  • Santa Rosa, CA
  • NPI 1699775411
  NPD

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1114241205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 GRAVENSTEIN HWY N",
            "address_2": "#339",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954722808",
            "telephone_number": "707-824-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 HEALDSBURG AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723309",
            "telephone_number": "707-824-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULSON",
        "first_name": "DIANA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC34244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Polak, D.C.
• Olena Poluektov
• Katherine Pool
• Verenice Portales
• Mary Veronica Potje
• Sandra Poulter, RN, BSN,SCHOOL NURSE
• Richard E Powers, MD
• William Prange, L.AC., O.M.D.
• Precision Dermatology, Inc.
• Hollis L Prichard, MFT

• Marriage & Family Therapist in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.