Organization Active NPI

Diana Lampsa MDSC

  • Psychiatry Physician
  • Manitowoc, WI
National Provider Identifier
1144241027
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DIANA LAMPSA MDSC
Practice address
1425 Memorial Dr
Manitowoc, WI 54220-6707
Phone
(920) 683-9500
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Diana Lampsa, MD
Title
Owner President
Phone
(920) 683-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1425 Memorial Dr
Manitowoc, WI 54220-6707

Mailing address

1425 Memorial Dr
Manitowoc, WI 54220-6707
Phone (920) 683-9500

Other identifiers 1

IdentifierTypeStateIssuer
30802000MedicaidWI

National Provider Directory

National Provider Directory

Locations

1425 Memorial Dr
Manitowoc, WI 54220
Phone (920) 683-9500

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1144241027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 MEMORIAL DR",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542206707",
            "telephone_number": "920-683-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 MEMORIAL DR",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542206707",
            "telephone_number": "920-683-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA LAMPSA MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "LAMPSA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "920-683-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30802000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.