Active NPI
Lorraine D. Diston PSYD.,PA
- Clinical Psychologist
- Doral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY4470
- Legal business name
- LORRAINE D. DISTON PSYD.,PA
- Practice address
- 10305 NW 41St St
Suite 202
Doral, FL 33178-2396 - Phone
- (305) 905-3794
- Fax
- (305) 829-2284
- NPI assigned
- Jul 2, 2014
- Last updated
- Jul 16, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lorraine D Diston, PSYD
- Title
- Owner
- Phone
- (305) 905-3794
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY4470 | FL | Primary |
Addresses
Primary practice location
10305 NW 41St St
Suite 202
Doral, FL 33178-2396
Mailing address
7324 Bay Hill Dr
Hialeah, FL 33015-2208
Phone (305) 905-3794
National Provider Directory
National Provider DirectoryLocations
10305 NW 41st St
Ste 202
Doral, FL 33178
Phone (305) 718-9800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Doral, FL
- NPI 1942428685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405468800000",
"number": "1356757082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7324 BAY HILL DR",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330152208",
"telephone_number": "305-905-3794",
"fax_number": "305-829-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10305 NW 41ST ST",
"address_2": "SUITE 202",
"city": "DORAL",
"state": "FL",
"postal_code": "331782396",
"telephone_number": "305-905-3794",
"fax_number": "305-829-2284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORRAINE D. DISTON PSYD.,PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-02",
"last_updated": "2014-07-16",
"status": "A",
"authorized_official_last_name": "DISTON",
"authorized_official_first_name": "LORRAINE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-905-3794",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY4470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.