Organization Active NPI

Kate Diasamidze PSYD Psychology PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sherman Oaks, CA
National Provider Identifier
1124985155
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Apr 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kate Diasamidze, PSY.D.NPI 1568932242
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20260518001244 CA Part B Supplier - Clinic/Group Practice 5698244895 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.