Active NPI
Diana I Pak, PH. D.
- School Psychologist
- Chandler, AZ
National Provider Identifier
1518178979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2048493
- Practice address
- 97 N Cooper Rd
#85
Chandler, AZ 85225-5892 - Phone
- (602) 573-5813
- NPI assigned
- May 25, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2048493 | AZ | Primary |
Addresses
Primary practice location
97 N Cooper Rd
#85
Chandler, AZ 85225-5892
Mailing address
97 N Cooper Rd
#85
Chandler, AZ 85225-5892
Phone (602) 573-5813
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2048493 | AZ | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518178979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 N COOPER RD",
"address_2": "#85",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852255892",
"telephone_number": "602-573-5813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 N COOPER RD",
"address_2": "#85",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852255892",
"telephone_number": "602-573-5813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAK",
"first_name": "DIANA",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "2048493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
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.