Shana Diamond, M.S. CCC/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146013335 Issued in IL

Practice address

850 Jeanne CT
Grayslake, IL 60030-3205

Phone

(224) 436-2508

NPI assigned

Jul 23, 2016

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diamond Pediatric Therapy

  • Speech-Language Pathologist
  • Woodstock, IL
  • NPI 1851946677
  NPD Authorized official

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

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469232000000",
    "number": "1215480454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 JEANNE CT",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 JEANNE CT",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600303205",
            "telephone_number": "224-436-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "SHANA",
        "credential": "M.S. CCC/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-23",
        "last_updated": "2016-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146013335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patti June Delger, RD, LDN
• Amber Lee Dennis, M.S. CCC-SLP/L
• Jennifer Devaney, MD
• Alana Clair Devaughn, MS, LCPC
• Nancy J Deweese, LCPC
• Amy Marie Diaz, LCPC
• Vincent Doan, DO
• Hallie Corine Doherty
• Heather Donald, MA, LCPC, CADC
• Jennifer V Donohue

• Speech-Language Pathologist in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; 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.