Diana Sholtz, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

048-0000858 Issued in VT

Practice address

1 Stackpole Road
Machias, ME 04654

Phone

(207) 255-0996

Fax

(207) 255-8748

NPI assigned

Aug 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Aroostook Mental Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Presque Isle, ME
  • NPI 1487601399

  Clinical

  NPD (past)
• Washington County Psychotherapy Associates, PA

  • Clinical Psychologist
  • Calais, ME
  • NPI 1295865921
  NPD (past)
• Washington County Psychotherapy Associates, PA

  • Counselor
  • Machias, ME
  • NPI 1538158159

  Clinical

  NPD (past)
• Deer Oaks Mental Health Associates PC

  • Clinical Psychologist
  • Las Cruces, NM
  • NPI 1134175763
  NPD (past)
• Deer Oaks New England, LLC

  • Clinical Psychologist
  • Burlington, VT
  • NPI 1275798076
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1568471936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 29",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "04654",
            "telephone_number": "207-255-4990",
            "fax_number": "207-255-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STACKPOLE ROAD",
            "city": "MACHIAS",
            "state": "ME",
            "postal_code": "04654",
            "telephone_number": "207-255-0996",
            "fax_number": "207-255-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLTZ",
        "first_name": "DIANA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048-0000858",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS1236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN3783",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432800499",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Sammis, M.D.
• Elizabeth Sayre, MHRT-CSP
• Alysha Schenker
• Siana Dorothy Schoppee, OTR/L
• Corey Schwinn
• Diane Smith-Halkett
• James Edward Sparaga, D.M.D.
• Shawn Sparrow, CRNA
• Stacey Spencer
• Rebecca Starr

• Clinical Psychologist in Machias, ME
• Providers in Machias, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.