Dianne Lavin LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

33606 Issued in TX

Legal business name

DIANNE LAVIN LLC

Practice address

503 Benedict CT
San Antonio, TX 78258-2545

Phone

(210) 441-1074

Fax

(210) 441-1074

NPI assigned

Jun 13, 2017

Last updated

Aug 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dianne Lavin, PSYD, RN

Title

Provider/Owner

Phone

(210) 441-1074

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1528598620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PALM WAY STE 1",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503005",
            "telephone_number": "904-685-4850",
            "fax_number": "904-685-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 BENEDICT CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582545",
            "telephone_number": "210-441-1074",
            "fax_number": "210-441-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANNE LAVIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "LAVIN",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "210-441-1074",
        "authorized_official_credential": "PSYD, RN"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33606",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "3587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Gonzalez, OD, & Associates, PA
• Diana R. Galvan, PLLC
• Mario Diana, MD
• Diana's Assisted Living Facility
• Diane Trinidad, DDS, PC
• Dianne M. Grejtak (Medical Specialty Shoppe)
• Alexis Dias
• Johan Neilton Dias, PH.D.
• Joel Enrique Diaz Arana, DMD
• Diaz Assisting

• Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.