Lisa C. Diamond, M.D.
Individual provider Active NPI Psychiatry Physician · Southlake, TX
NPI 1184710550 · NPPES record last updated Mar 10, 2025
Key facts
- NPI
- 1184710550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 029445 (CT)
- Practice address
- 2131 Kirkwood Blvd Ste 100
Southlake, TX 76092-1540 - Phone
- (817) 210-4856
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 44
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Columbia University College of Physicians and Surgeons, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- All for Health Health for All Inc
Practice addresses (Care Compare)
141 S Cedar St
Glendale, CA 91205-1207
Phone (818) 839-4010
Hospital & facility affiliations
- Charlotte Hungerford Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (9 enrollments) in CT, FL, NY, PA, NJ, GA, TX, NC, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100514000692 | CT | Practitioner - Psychiatry | 6800924663 |
Reassigns benefits to 12 organizations Practice locations: Brookfield, CT |
| I20210811003840 | FL | Practitioner - Psychiatry | 6800924663 | Reassigns benefits to 1 organization |
| I20210819002597 | NY | Practitioner - Psychiatry | 6800924663 | Reassigns benefits to 2 organizations |
| I20210917000253 | PA | Practitioner - Psychiatry | 6800924663 | Reassigns benefits to 2 organizations |
| I20230504000666 | NJ | Practitioner - Psychiatry | 6800924663 | Reassigns benefits to 3 organizations |
| I20230524000339 | GA | Practitioner - Psychiatry | 6800924663 | Reassigns benefits to 1 organization |
| I20230531000014 | TX | Practitioner - Psychiatry | 6800924663 | Reassigns benefits to 1 organization |
| I20230817002812 | NC | Practitioner - Psychiatry | 6800924663 | Reassigns benefits to 1 organization |
| I20240430001715 | CA | Practitioner - Psychiatry | 6800924663 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029445 | CT | MD | Psychiatry Physician |
Practice roles (29 of 30)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carend Provider Group of Kansas PA | Current |
Accepting new patients | |
| Che Behavioral Health Services of Texas, P.a. | Psychiatry | Current |
Accepting new patients |
| Connecticut Mental Health Specialists Inc | Psychiatry | Current |
Accepting new patients |
| CT Behavioral Health Services, PC | Psychiatry | Current |
Accepting new patients |
| Regional Womens Health Group LLC | Current |
Accepting new patients | |
| Catholic Charities Inc - Archdiocese of Hartford | Current |
Accepting new patients | |
| Che Behavioral Health Services of Florida, P.a. | Psychiatry | Current |
Accepting new patients |
| Carend Provider Group PA | Current |
Accepting new patients | |
| Still Psychiatry PLLC | Current |
Accepting new patients | |
| JLS Medical PC | Psychiatry | Current |
Accepting new patients |
| Che Senior Care Therapy Services PC | Psychiatry | Current |
Accepting new patients |
| Camino Real Community MHMR Center | Current |
Accepting new patients | |
| Catholic Charities, Inc. - Archdiocese of Hartford | Current |
Accepting new patients | |
| Carend Provider Group of New Jersey PC | Current |
Accepting new patients | |
| The Charlotte Hungerford Hospital | Current |
Accepting new patients | |
| Knapp Street Psychiatry, PC | Psychiatry | Current |
Accepting new patients |
| The Charlotte Hungerford Hospital | Current |
Accepting new patients | |
| Catholic Charities Inc - Archdiocese of Hartford | Current |
Accepting new patients | |
| Catholic Charities, Inc. - Archdiocese of Hartford | Current |
Accepting new patients | |
| Catholic Charities, Inc. - Archdiocese of Hartford | Current |
Accepting new patients | |
| Kessler Professional Services LLC | Current |
Accepting new patients | |
| Christopher Dennis MD PLLC | Psychiatry | Current |
Accepting new patients |
| Che Senior Psychological Services, PC | Psychiatry | Current |
Accepting new patients |
| Confermed of California PC | Current |
Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Psychiatry | Current | Accepting new patients |
| Che Behavioral Health Services of North Carolina, P.C | Psychiatry | Current |
Accepting new patients |
| Regional Women'S Health Group, LLC | Current |
Accepting new patients | |
| Confermed PC | Psychiatry | Past | Accepting new patients |
| Bancroft, a New Jersey Nonprofit Corporation | Past |
Accepting new patients |
Locations (25 of 37)
5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664
101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172
4600 Campus Dr
Ste 203
Newport Beach, CA 92660
Phone (617) 259-5933
548 Market St
San Francisco, CA 94104
Phone (415) 275-1838
270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570
45 Wadsworth St
Hartford, CT 06106
Phone 8605271124283
896 Asylum Ave
Hartford, CT 06105
Phone (860) 522-8241
11 Silver St
Unit 856
Middletown, CT 06457
501 Lombard St
New Haven, CT 06513
Phone (203) 772-2637
132 Grove St
Torrington, CT 06790
Phone (860) 482-5558
540 Litchfield St
Torrington, CT 06790
Phone (860) 496-6361
56 Church St
Waterbury, CT 06702
Phone (203) 755-1196
128 Cedar Ave
Waterbury, CT 06705
Phone (203) 757-9271
71 Raymond Rd
West Hartford, CT 06107
Phone (203) 232-4398
115 Spencer St
Winsted, CT 06098
Phone (860) 738-5810
6750 N Andrews Ave
Ste 200
Lauderdale Lakes, FL 33309
Phone (718) 408-5477
1420 Milstead Rd NE
Conyers, GA 30012
Phone (770) 483-3902
11340 Lakefield Dr
Ste 200
Johns Creek, GA 30097
Phone (678) 407-2159
2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437
2015 Ayrsley Town Blvd
Ste 202
Charlotte, NC 28273
Phone (704) 727-7008
550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525
101 Eisenhower Pkwy
Ste 300
Roseland, NJ 07068
Phone (201) 520-7221
188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023
2401 E Evesham Rd
Ste A1
Voorhees, NJ 08043
Phone (856) 424-3323
227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/ccaoh/r4/
- lisadiamond@tdh.allscriptsdirect.net
- lisac.diamondmd.p1@direct.afh.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 029445 | CT | Yes |
Addresses
Primary practice location
2131 Kirkwood Blvd Ste 100
Southlake, TX 76092-1540
Mailing address
11 High Point LN
West Hartford, CT 06107-1136
Phone (203) 770-1357
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D300062724 | Other | CT | MEDICARE PTAN - |
NPI Registry JSON
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741564800000",
"number": "1184710550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 HIGH POINT LN",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071136",
"telephone_number": "203-770-1357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 KIRKWOOD BLVD STE 100",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760921540",
"telephone_number": "817-210-4856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "LISA",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "029445",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN -",
"identifier": "D300062724",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southlake, TX
- DFW First Assisting Inc
- DFW Neuromonitoring Service II, PA
- DFW Neuromonitoring Service, LLC
- DFW Pain Consultants, PLLC
- DFW Surgical Assist, LLC
- Alisha Diane Diaz
- Sebastian Diaz
- Direct Primed Care PLLC
- Directions Weight Management
- Krystyn Marie Dishaw
All providers in Southlake, TX · Psychiatry Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.