Individual provider Active NPI

Diane Weiss Mufson, MA

  • Psychologist
  • Huntington, WV
National Provider Identifier
1477561926
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
WV224 Issued in WV
Practice address
845 4TH Ave
Ste 301
Huntington, WV 25701-1470
Phone
(304) 523-8911
Fax
(304) 523-8912
NPI assigned
Aug 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X WV224 WV Primary

Addresses

Primary practice location

845 4TH Ave
Ste 301
Huntington, WV 25701-1470

Mailing address

845 4TH Ave
Ste 301 Apt Inc
Huntington, WV 25701-1470
Phone (304) 523-8911

Other identifiers 1

IdentifierTypeStateIssuer
01635282000MedicaidWV

Other names 1

  • Ms. Diane Cecile Mufson Other name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
WV224WVMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Psychology and Therapy, Inc. Psychologist Past 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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477561926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 4TH AVE",
            "address_2": "STE 301 APT INC",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011470",
            "telephone_number": "304-523-8911",
            "fax_number": "304-523-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 4TH AVE",
            "address_2": "STE 301",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011470",
            "telephone_number": "304-523-8911",
            "fax_number": "304-523-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUFSON",
        "first_name": "DIANE",
        "middle_name": "WEISS",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "WV224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01635282000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "MUFSON",
            "middle_name": "CECILE",
            "prefix": "MS.",
            "credential": "MA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

  • 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.