Manuela Ana Diaz, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

22309 Issued in CA

Practice address

2927A Shattuck Ave
Berkeley, CA 94705-1808

Phone

(510) 358-1967

Fax

(510) 217-2216

NPI assigned

Jan 30, 2009

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1588802417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927A SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051808",
            "telephone_number": "510-358-1967",
            "fax_number": "510-217-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927A SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051808",
            "telephone_number": "510-358-1967",
            "fax_number": "510-217-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "MANUELA",
        "middle_name": "ANA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "22309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "22309",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Yoshie Diamant, FNP
• Susan Diamond Moore, L.C.S.W.
• Ivan Diamond, M.D.
• Alana Joy Diamos, LM, CPM
• Jonathan Ryan Diaz, DPT
• Yamel Diaz
• Nancy Dick, RN, MSN, PHN
• Regina Lee Dickens
• Julianna Dickey, LCSW
• Eike B Diebold, PH.D.

• Clinical Psychologist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.