Individual provider Active NPI

Elisabeth Harvey Diekmann

  • Peer Specialist
  • New York, NY
National Provider Identifier
1467248385
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
CRPA-2643 Issued in NY
Practice address
190 Mercer St FL 4
New York, NY 10012-1502
Phone
(212) 677-3400
Fax
(212) 995-5897
NPI assigned
Apr 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CRPA-2643 NY Primary
Peer Specialist 175T00000X CRPA-2643

Addresses

Primary practice location

190 Mercer St FL 4
New York, NY 10012-1502

Mailing address

190 Mercer St FL 4
New York, NY 10012-1502
Phone (212) 677-3400

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CRPA-2643NYMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich House Inc PastSince Apr 20, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1467248385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 MERCER ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121502",
            "telephone_number": "212-677-3400",
            "fax_number": "212-995-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MERCER ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100121502",
            "telephone_number": "212-677-3400",
            "fax_number": "212-995-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEKMANN",
        "first_name": "ELISABETH",
        "middle_name": "HARVEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "CRPA-2643",
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": "CRPA-2643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.