Diane Matel, APNP, PHD

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

442 Issued in WI

Practice address

1045 W Glen Oaks LN Ste 1
Mequon, WI 53092-3477

Phone

(262) 241-8100

Fax

(262) 241-8200

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1366467235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 W GLEN OAKS LN STE 1",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923477",
            "telephone_number": "262-241-8100",
            "fax_number": "262-241-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 W GLEN OAKS LN STE 1",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923477",
            "telephone_number": "262-241-8100",
            "fax_number": "262-241-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEL",
        "first_name": "DIANE",
        "credential": "APNP, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "442",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1831-057",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "WI",
            "license": "1838-057",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "WI",
            "license": "1831-057",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "WI",
            "license": "442-033",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39401900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Markle
• Douglas Richard Martin, D.D.S.
• Brian Shawn Martinezdelacotera, LPC
• Maryam K Doyle MD SC
• Michael Antonio Marzette Jr.
• Anne L Mattson, MD
• Rita Kasota Maxinoski, DPT
• Michael Mazius, PHD
• Jessica Jean McBride-Fought, MSW, LCSW, CSAC, ICS
• Rachael McCallops, NP

• Psychiatric/Mental Health Nurse Practitioner in Mequon, WI
• Providers in Mequon, WI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.