Active NPI
Diana Marshall, PHD
- Psychologist
- Vancouver, WA
National Provider Identifier
1346751112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY9961
- Practice address
- 1601 E 4TH Plain Blvd
Vancouver, WA 98661-3713 - Phone
- (352) 284-2113
- NPI assigned
- Oct 19, 2017
- Last updated
- Apr 19, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY9961 | FL | Primary |
Addresses
Primary practice location
1601 E 4TH Plain Blvd
Vancouver, WA 98661-3713
Mailing address
1601 E 4TH Plain Blvd
Vancouver, WA 98661-3713
Phone (352) 284-2113
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9961 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1346751112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 E 4TH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613713",
"telephone_number": "352-284-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E 4TH PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613713",
"telephone_number": "352-284-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "DIANA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY9961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.