Active NPI
Diana Wollkind
- Mental Health Counselor
- New York, NY
National Provider Identifier
1578909354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 006511
- Practice address
- 1651 3Rd Ave RM 205
New York, NY 10128-3679 - Phone
- (646) 941-0482
- NPI assigned
- May 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 006511 | NY | Primary |
Addresses
Primary practice location
1651 3Rd Ave RM 205
New York, NY 10128-3679
Mailing address
1651 3Rd Ave RM 205
New York, NY 10128-3679
Phone (646) 941-0482
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006511 | NY | MD | Feeding, Eating & Swallowing Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1578909354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1651 3RD AVE RM 205",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101283679",
"telephone_number": "646-941-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1651 3RD AVE RM 205",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101283679",
"telephone_number": "646-941-0482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLLKIND",
"first_name": "DIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-20",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "006511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.