Individual provider Active NPI

Diana Morozov, PSY.D.

  • Psychologist
  • Brooklyn, NY
National Provider Identifier
1518360585
Registry record updated Oct 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
020920-1 Issued in NY
Practice address
10 Plaza St E Ste 1C
Brooklyn, NY 11238-4939
Phone
(347) 770-7631
NPI assigned
Oct 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 020920-1 NY Primary

Addresses

Primary practice location

10 Plaza St E Ste 1C
Brooklyn, NY 11238-4939

Mailing address

10 Plaza St E Ste 1C
Brooklyn, NY 11238-4939
Phone (347) 770-7631

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
020920-1NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443916800000",
    "number": "1518360585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PLAZA ST E STE 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384939",
            "telephone_number": "347-770-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PLAZA ST E STE 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384939",
            "telephone_number": "347-770-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOROZOV",
        "first_name": "DIANA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2015-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020920-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2015; 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.