Nadia Macarena Diaz, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

016264 Issued in NY

Practice address

7158 Austin St Ste 208
Apt 12W
Forest Hills, NY 11375-4715

Phone

(917) 562-1620

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396817904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10460 QUEENS BLVD APT 12W",
            "address_2": "APT 12W",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757342",
            "telephone_number": "718-896-4370",
            "fax_number": "718-896-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7158 AUSTIN ST STE 208",
            "address_2": "APT 12W",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754715",
            "telephone_number": "917-562-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "NADIA",
        "middle_name": "MACARENA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02638324",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angi Diaz Poblador
• Yesenia M Diaz-Lopez, LMSW
• Angel Diaz
• Cintia Diaz, M.D.
• Jailyn Diaz
• Enza Maria Dibenedetto, M.S.M.A.
• Frank Richard Dibennardo I, PH.D
• Lady Johanna Dicesa, SLP, TSLD
• Alevtina Dick
• Kalsang Dickey, NP

• Clinical Psychologist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.