Active NPI
Josephine Diaz, PH.D.
- Clinical Social Worker
- New York, NY
National Provider Identifier
1336295534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 026072-1
- Practice address
- 382 Central Park W
Suite #6E
New York, NY 10025-6054 - Phone
- (212) 665-5716
- Fax
- (212) 665-5716
- NPI assigned
- Jan 28, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 012503-1 | NY | |
| Clinical Social Worker | 1041C0700X | 026072-1 | NY | Primary |
Addresses
Primary practice location
382 Central Park W
Suite #6E
New York, NY 10025-6054
Mailing address
382 Central Park W
Suite #6E
New York, NY 10025-6054
Phone (212) 665-5716
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7402493 | Other | NY | GHI |
| 01773720 | Medicaid | NY | |
| 179197 | Other | NY | MHN |
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 |
|---|---|---|---|
| 012503-1 | NY | MD | Clinical Psychologist |
| 012503 | NY | MD | Veterinarian |
| 026072-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1336295534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "382 CENTRAL PARK W",
"address_2": "SUITE #6E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256054",
"telephone_number": "212-665-5716",
"fax_number": "212-665-5716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "382 CENTRAL PARK W",
"address_2": "SUITE #6E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256054",
"telephone_number": "212-665-5716",
"fax_number": "212-665-5716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "JOSEPHINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-28",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "012503-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "026072-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "7402493",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01773720",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "179197",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.