Diane Stavropoulos Dimond, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 52086 Issued in CA

Practice address

821 E 2ND St Ste 201F
Benicia, CA 94510-3344

Phone

(707) 419-1683

NPI assigned

Jul 26, 2012

Last updated

Jul 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1346596491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1722",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945104722",
            "telephone_number": "707-419-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E 2ND ST STE 201F",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103344",
            "telephone_number": "707-419-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMOND",
        "first_name": "DIANE",
        "middle_name": "STAVROPOULOS",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 52086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teri E Deane, CREDENTIALED SN
• Zoe Katriel Lawas Del Rosario
• Delta Bay Surgery Center LLC
• Jill Depass
• Michelle Dilello, RN
• Direct2U Home Health Services LLC
• Rachel Dizon, RDH
• Downtown Dental Benica
• Jacqueline Draper
• Hillary Dupuis, MA

• Marriage & Family Therapist in Benicia, CA
• Providers in Benicia, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.