Organization Active NPI

Diana Beliard, PH.D.; P.C.

  • Adult Mental Health Clinic/Center
  • Evanston, IL
National Provider Identifier
1568609105
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
DIANA BELIARD, PH.D.; P.C.
Practice address
2530 Crawford Ave
Suite 308
Evanston, IL 60201-4970
Phone
(847) 328-9566
Fax
(847) 784-5052
NPI assigned
Jan 20, 2009
Organization subpart
Yes
Parent organization
DIANA BELIARD, PH.D.; P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Dr. Diana Beliard, PH.DNPI 1033212295
Title
President
Phone
(847) 328-9566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

2530 Crawford Ave
Suite 308
Evanston, IL 60201-4970

Mailing address

2530 Crawford Ave
Suite 308
Evanston, IL 60201-4970
Phone (847) 328-9566

Other names 1

  • Diana Beliard, Ph.D.; P.C. Other name

National Provider Directory

National Provider Directory
Part of
Diana Beliard PHD PC

Locations

2530 Crawford Ave
Ste 308
Evanston, IL 60201
Phone (312) 787-4011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1568609105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 CRAWFORD AVE",
            "address_2": "SUITE 308",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014970",
            "telephone_number": "847-328-9566",
            "fax_number": "847-784-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 CRAWFORD AVE",
            "address_2": "SUITE 308",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014970",
            "telephone_number": "847-328-9566",
            "fax_number": "847-784-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA BELIARD, PH.D.; P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIANA BELIARD, PH.D.; P.C.",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "BELIARD",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-328-9566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diana Beliard, Ph.D.; P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; 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.