Diana Elliott, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS00302 Issued in RI

Practice address

196 Waterman St
Providence, RI 02906-4071

Phone

(401) 439-7690

NPI assigned

May 18, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Diana Elliott Lidofsky Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1548907769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 MEETING ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061348",
            "telephone_number": "401-439-7690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064071",
            "telephone_number": "401-439-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "DIANA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS00302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "LIDOFSKY",
            "middle_name": "ELLIOTT",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Eliza Williams: Restorative Body Therapies
• Elizabeth Hammond Counseling, LLC
• Ahmed Elsaid Elkaryoni, M.D.
• Brian Elliano
• David S Elliott, PH.D.
• Sarah Elliott, MD
• Cynthia G Ellis, PHD
• Tina Marie Ellis, MD
• Todd W Ellison, MSW, LICSW
• Kristen Ellsworth, FNP

• Psychologist in Providence, RI
• Providers in Providence, RI by specialty
• Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.