Active NPI
Diana Noemi Pure, PHD
- Clinical Psychologist
- Miami, FL
National Provider Identifier
1295743698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071004682
- Practice address
- 900 Biscayne Blvd
Unit 3302
Miami, FL 33132-1561 - Phone
- (847) 269-0849
- Fax
- (305) 433-7039
- NPI assigned
- Aug 3, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071004682 | IL | Primary |
Addresses
Primary practice location
900 Biscayne Blvd
Unit 3302
Miami, FL 33132-1561
Mailing address
1545 W North Ave Apt 310
Chicago, IL 60642-2530
Phone (847) 269-0849
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071004682 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1295743698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 W NORTH AVE APT 310",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606422530",
"telephone_number": "847-269-0849",
"fax_number": "312-782-7172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 BISCAYNE BLVD",
"address_2": "UNIT 3302",
"city": "MIAMI",
"state": "FL",
"postal_code": "331321561",
"telephone_number": "847-269-0849",
"fax_number": "305-433-7039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURE",
"first_name": "DIANA",
"middle_name": "NOEMI",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071004682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.