Individual provider Active NPI

Diamanto Tsakanikas, PH.D.

  • Clinical Neuropsychologist
  • New York, NY
National Provider Identifier
1497923585
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
017454 Issued in NY
Practice address
428 E 72ND St
Suite 500
New York, NY 10021-4635
Phone
(212) 746-2441
Fax
(212) 746-5584
NPI assigned
Feb 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 017454 NY Primary

Addresses

Primary practice location

428 E 72ND St
Suite 500
New York, NY 10021-4635

Mailing address

428 E 72ND St
Suite 500
New York, NY 10021-4635
Phone (212) 746-2441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220516002550 NY Practitioner - Clinical Psychologist 4284867466 Reassigns benefits to 1 organization
I20260226002058 NJ Practitioner - Clinical Psychologist 4284867466 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1590 Wellington Ave
Savannah, NY 13146-3160

165 Passaic Ave
Suite 200
Fairfield, NJ 07004-3564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
017454NYMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Psychiatry & TMS PC CurrentSince Feb 16, 2026 Accepting new patients

Locations

165 Passaic Ave
Ste 200
Fairfield, NJ 07004
Phone (800) 413-8020

3820 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 840-5266

310 E Shore Rd
Ste 100
Great Neck, NY 11023
Phone (516) 466-0444

330 Motor Pkwy
Ste 204
Hauppauge, NY 11788
Phone (631) 617-6903

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.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1497923585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 E 72ND ST",
            "address_2": "SUITE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214635",
            "telephone_number": "212-746-2441",
            "fax_number": "212-746-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 E 72ND ST",
            "address_2": "SUITE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214635",
            "telephone_number": "212-746-2441",
            "fax_number": "212-746-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAKANIKAS",
        "first_name": "DIAMANTO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "017454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.