Active NPI
Charles Diament, PH.D.
- Clinical Psychologist
- Holmdel, NJ
National Provider Identifier
1336275585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- SI 01345
- Practice address
- 10 Crawfords Corner Rd
Holmdel, NJ 07733-1975 - Phone
- (732) 530-9330
- NPI assigned
- Feb 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1345 | NJ | |
| Clinical Psychologist | 103TC0700X | SI 01345 | NJ | Primary |
Addresses
Primary practice location
10 Crawfords Corner Rd
Holmdel, NJ 07733-1975
Mailing address
10 Crawford Corner Road
Pob 634
Holmdel, NJ 07733
Phone (732) 530-9330
Medicare participation
Medicare enrollment files- 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: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2018 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1345 | NJ | MD | Psychologist |
| SI 01345 | NJ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728691200000",
"number": "1336275585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 CRAWFORD CORNER ROAD",
"address_2": "POB 634",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "07733",
"telephone_number": "732-530-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CRAWFORDS CORNER RD",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077331975",
"telephone_number": "732-530-9330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMENT",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-24",
"last_updated": "2024-10-12",
"certification_date": "2024-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "1345",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "SI 01345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holmdel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.