Active NPI
Ellen M Diana, PH.D.
- Psychologist
- Phoenix, AZ
National Provider Identifier
1255416509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1968
- Practice address
- 2509 E Ridge Creek Rd
Phoenix, AZ 85024-5274 - Phone
- (480) 703-0037
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1968 | AZ | Primary |
Addresses
Primary practice location
2509 E Ridge Creek Rd
Phoenix, AZ 85024-5274
Mailing address
2509 E Ridge Creek Rd
Phoenix, AZ 85024-5274
Phone (480) 703-0037
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1255416509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 E RIDGE CREEK RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850245274",
"telephone_number": "480-703-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2509 E RIDGE CREEK RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850245274",
"telephone_number": "480-703-0037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIANA",
"first_name": "ELLEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "1968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Diamond Manor Adult Care (Diamond Manor Adult Care LLC)
- Diamond S Enterprises, Inc (Assisting Hands Home Care - Scottsdale)
- Kimberly Anne Diana-Brooks, D.O.
- Carla Elaine Diana, D.C.
- Cynthia Anne Diana
- James Michael Diana
- Diane Clawson, D.O., P.C.
- Rebecca Diarte
- Ana Caroline Dias Rasador, MD
- Lori Dias, CPO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.