Mayra Leonor Diaz, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

110966 Issued in CA

Practice address

10737 Riverside Dr
North Hollywood, CA 91602-2324

Phone

(818) 473-0945

NPI assigned

Aug 11, 2015

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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1184000390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16442",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916156442",
            "telephone_number": "818-473-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10737 RIVERSIDE DR",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916022324",
            "telephone_number": "818-473-0945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16055 Ventura Blvd Ste 715",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362610",
            "country_code": "US",
            "telephone_number": "818-473-0945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MAYRA",
        "middle_name": "LEONOR",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Di Francia
• Domingo Diaz
• Fabiola Diaz
• Gilbert Theodore Diaz
• Lizbeth Diaz
• Didi Hirsch Psychiatric Service
• Karielle Dieal
• Seana Diemer Iwanyk, AMFT
• Mina Dimetrios, PHARMD
• Marivel G Dio, D.D.S

• Marriage & Family Therapist in North Hollywood, CA
• Providers in North Hollywood, 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 Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.