Organization Active NPI

Lorraine D. Diston PSYD.,PA

  • Clinical Psychologist
  • Doral, FL
National Provider Identifier
1356757082
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY4470 Issued in FL
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Dr. Lorraine D Diston, PSYDNPI 1942428685
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.