Individual provider Active NPI

Diana Andrea Chirinos-Downie

  • Clinical Psychologist
  • Downers Grove, IL
National Provider Identifier
1225725229
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071.010766 Issued in IL
Practice address
5916 Cumnor Rd
Downers Grove, IL 60516-2021
Phone
(786) 303-4704
NPI assigned
Apr 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071.010766 IL Primary

Addresses

Primary practice location

5916 Cumnor Rd
Downers Grove, IL 60516-2021

Mailing address

5916 Cumnor Rd
Downers Grove, IL 60516-2021
Phone (786) 303-4704

Other names 1

  • Diana Chirinos Medina Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071.010766ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1225725229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 CUMNOR RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162021",
            "telephone_number": "786-303-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5916 CUMNOR RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162021",
            "telephone_number": "786-303-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIRINOS-DOWNIE",
        "first_name": "DIANA",
        "middle_name": "ANDREA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071.010766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "CHIRINOS MEDINA",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.