Diana D. Deister, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

256262 Issued in MA

Practice address

43 Naples Rd
Brookline, MA 02446-5768

Phone

(617) 520-4854

NPI assigned

Nov 14, 2007

Last updated

Aug 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ddeister66332@direct.bostonchildrens.org
• Direct secure messaging: dianadeistermd@org135.direct.charmhealth.com

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.

• Bountiful Mental Health, PLLC

  • Child & Adolescent Psychiatry Physician
  • Brookline, MA
  • NPI 1316628720
  NPD Authorized official

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1245411602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 HARVARD ST # 359",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024462904",
            "telephone_number": "617-520-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NAPLES RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024465768",
            "telephone_number": "617-520-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEISTER",
        "first_name": "DIANA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-14",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "256262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Esther De Girolami, MD
• Vincent De Martino, PT
• Gabrielle Abby Dean, LICSW
• Katherine Joan Decker, MA
• Annamarie Defeo, DDS,MS
• Elisabetta C. Del Re, M.A.
• Delia N. Sang MD
• Amanda Nicole Delitto
• Laurent Constance Delli-Bovi, MD
• Dellon Institute for Peripheral Nerve Surgery

• Child & Adolescent Psychiatry Physician in Brookline, MA
• Providers in Brookline, MA by specialty
• Child & Adolescent Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.