Walter Francis Diak III, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY 8129 Issued in FL

Practice address

28870 US 19 N
Suite 357
Clearwater, FL 33761-2596

Phone

(727) 280-6569

NPI assigned

Sep 3, 2010

Last updated

Mar 2, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Walter F Diak III Professional name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• GPS II

  • Health Service Psychologist
  • Longboat Key, FL
  • NPI 1861740888
  NPD (past)
• John P McDonough III

  dba Geriatric Psychological Specialists

  • Psychologist
  • Tampa, FL
  • NPI 1346280161
  NPD (past)

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1235446741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28870 US 19 N",
            "address_2": "SUITE 357",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612596",
            "telephone_number": "727-280-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28870 US 19 N",
            "address_2": "SUITE 357",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612596",
            "telephone_number": "727-280-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAK",
        "first_name": "WALTER",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-03",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY 8129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WALTER",
            "last_name": "DIAK III",
            "middle_name": "F",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Celia P Di Marco, MD
• Joel A. Di Santi, DPM
• Diabetic Medic, Inc
• Diagnostic Clinic Medical Group Inc
• Diagnostic Clinic Medical Group Inc.
• Diamond Business Ventures, Inc (Zounds Hearing of Tampa Bay)
• Diana Summers Denta
• Alejandra Diaz, PHARMD.
• Neisa I Diaz, MD
• Allison Page Dickson, OD

• Counseling Psychologist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.