Diane Carole Petroni, PHD MFT

Primary specialty

Psychoanalysis PsychologistTaxonomy code 103TP0814X

License

MFC17004 Issued in CA

Practice address

4990 Speak Lane
Suite 100
San Jose, CA 95118-2776

Phone

(408) 266-7826

Fax

(408) 267-9649

NPI assigned

Jun 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Diane Petroni Newhouse Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 18, 2024 through Jun 18, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1235335951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 SPEAK LANE",
            "address_2": "SUITE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951182776",
            "telephone_number": "408-266-7826",
            "fax_number": "408-267-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 SPEAK LANE",
            "address_2": "SUITE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951182776",
            "telephone_number": "408-266-7826",
            "fax_number": "408-267-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRONI",
        "first_name": "DIANE",
        "middle_name": "CAROLE",
        "name_prefix": "Dr.",
        "credential": "PHD MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "CA",
            "license": "MFC17004",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC17004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "PETRONI NEWHOUSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Petitte
• Judith E Peto, PA-C
• Sydnie Frances Petoskey
• Jennifer Petroff, LCSW
• Christopher John Petrone, LCSW
• George Petros, D.C.
• James Petros, M.D.
• Ramiz R Petros, D.M.D
• Tigran Petrosyan
• Mirena Petrous, RN

• Psychoanalysis Psychologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Psychoanalysis Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.