Nora Dieguez PHD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 4487 Issued in FL

Legal business name

NORA DIEGUEZ PHD PA

Practice address

100 Miracle Mile
Suite 330
Coral Gables, FL 33134-5430

Phone

(305) 445-9554

Fax

(786) 235-1074

NPI assigned

Jun 17, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Nora Dieguez, PH.D.NPI 1104908508

Title

Owner

Phone

(305) 445-9554

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nora Dieguez, PH.D.

  • Psychologist
  • Coral Gables, FL
  • NPI 1104908508
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1306167929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MIRACLE MILE",
            "address_2": "SUITE 330",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345430",
            "telephone_number": "305-445-9554",
            "fax_number": "786-235-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MIRACLE MILE",
            "address_2": "SUITE 330",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345430",
            "telephone_number": "305-445-9554",
            "fax_number": "786-235-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORA DIEGUEZ PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "DIEGUEZ",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-445-9554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 4487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "73846",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.