Active NPI
Kate Diasamidze PSYD Psychology PC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sherman Oaks, CA
National Provider Identifier
1124985155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- KATE DIASAMIDZE PSYD PSYCHOLOGY PC
- Practice address
- 15260 Ventura Blvd Ste 1200
Sherman Oaks, CA 91403-5347 - Phone
- (310) 717-3191
- NPI assigned
- Jan 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kate Diasamidze, PSY.D.
- Title
- Clinical Neuropsychologist
- Phone
- (310) 717-3191
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
15260 Ventura Blvd Ste 1200
Sherman Oaks, CA 91403-5347
Mailing address
818 W 7TH St Ste 930
Los Angeles, CA 90017-3476
Phone (310) 717-3191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Costa Mesa, CA
- NPI 1568932242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775779200000",
"number": "1124985155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 W 7TH ST STE 930",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900173476",
"telephone_number": "310-717-3191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15260 VENTURA BLVD STE 1200",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914035347",
"telephone_number": "310-717-3191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATE DIASAMIDZE PSYD PSYCHOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-09",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A",
"authorized_official_last_name": "DIASAMIDZE",
"authorized_official_first_name": "KATE",
"authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST",
"authorized_official_telephone_number": "310-717-3191",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.