Michelle Diehl, Psy.D., R.N., PL

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8005 Issued in FL

Legal business name

MICHELLE DIEHL, PSY.D., R.N., PL

Practice address

209 Lithia Pinecrest Rd
Brandon, FL 33511-5307

Phone

(813) 957-2765

NPI assigned

Dec 1, 2009

Organization subpart

No

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

Authorized official

Name

Michelle-Anne Diehl, PSYD, RN

Title

Sole Member/Owner/Provider

Phone

(813) 957-2765

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1346578457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LITHIA PINECREST RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115307",
            "telephone_number": "813-957-2765",
            "fax_number": "813-657-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 LITHIA PINECREST RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115307",
            "telephone_number": "813-957-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE DIEHL, PSY.D., R.N., PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-01",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "DIEHL",
        "authorized_official_first_name": "MICHELLE-ANNE",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER/PROVIDER",
        "authorized_official_telephone_number": "813-957-2765",
        "authorized_official_credential": "PSYD, RN"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "8005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.michelle.diehl@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Referral, diagnosis, Treatmernt status",
            "address_1": "209 Lithia Pinecrest Rd",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335115307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Metro Treatment of Florida, LP (Brandon Treatment Center)
• Gail Lynn Meyers, ARNP
• Miami Medical Alliance LLC
• Michael C Dickerson DMD Holdings PLLC
• Shera Michel, APRN
• Albert Mickens Jr., BS
• Midflorida Clinical Research,Inc
• Alexandra Maeve Miele
• Orlando Enrique Mieles, MD
• Tammy L Mielnik, PT

• Clinical Psychologist in Brandon, FL
• Providers in Brandon, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.