Active NPI
Doris C Byas-Diaz LLC
- Marriage & Family Therapist
- Philadelphia, PA
National Provider Identifier
1376253385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- DORIS C BYAS-DIAZ LLC
- Practice address
- 121 E Wyoming Ave
Philadelphia, PA 19120-4429 - Phone
- (267) 348-9916
- NPI assigned
- Nov 30, 2022
- 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
- Doris C Byas-Diaz, LMFT
- Title
- Ceo
- Phone
- (267) 348-9916
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
121 E Wyoming Ave
Philadelphia, PA 19120-4429
Mailing address
123 E Wyoming Ave
Philadelphia, PA 19120-4429
Phone (267) 348-9916
National Provider Directory
National Provider DirectoryLocations
121 E Wyoming Ave
Philadelphia, PA 19120
Phone (267) 348-9916
123 E Wyoming Ave
Philadelphia, PA 19120
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Philadelphia, PA
- NPI 1770729147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683504000000",
"number": "1376253385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 E WYOMING AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191204429",
"telephone_number": "267-348-9916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 E WYOMING AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191204429",
"telephone_number": "267-348-9916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DORIS C BYAS-DIAZ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-30",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A",
"authorized_official_last_name": "BYAS-DIAZ",
"authorized_official_first_name": "DORIS",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "267-348-9916",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.