Sandra Diaz, PH.D.

Individual provider Active NPI Clinical Psychologist · Raynham, MA

NPI 1437287166 · NPPES record last updated Jun 14, 2011

Key facts

NPI
1437287166
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
9068 (MA)
Practice address
90 New State Hwy, Rte 44
DCS Mental Health, Inc.
Raynham, MA 02767
Phone
(508) 880-6868
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
9068MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Psychiatric & Psychological Associates, P.C. Past Accepting new patients
DCS Mental Health, Inc Clinical Past
since Jan 1, 2009
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 9068 MA Yes

Addresses

Primary practice location

90 New State Hwy, Rte 44
DCS Mental Health, Inc.
Raynham, MA 02767

Mailing address

90 New State Hwy, Rte 44
DCS Mental Health, Inc.
Raynham, MA 02767
Phone (508) 880-6868

Other providers in Raynham, MA

All providers in Raynham, MA · Clinical Psychologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.