Samuel Diedhiou, M.ED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

349 Broadway
Cambridge, MA 02139-1715

Phone

(617) 661-3991

NPI assigned

Jul 14, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/healthrecovery/r4/

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.

• Institute for Health and Recovery Inc

  • Community/Behavioral Health Agency
  • Watertown, MA
  • NPI 1871893081
  NPD

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1598337024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 HAMILTON ST APT 2",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021222177",
            "telephone_number": "617-490-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 BROADWAY",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021391715",
            "telephone_number": "617-661-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEDHIOU",
        "first_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristan Diaz, FNP
• Camille M Dibenedetto, PSYD
• Lauren Dickerman, O.D.
• Julia N Dickinson, CNM
• Rachelle Dickinson, OTR/L
• Maud Dieudonne
• Julia Mabel Digenan
• Eavan Elizabeth Digiovanni, DPT, PT
• Frances Dilks, NP
• Dale E Dillavou, PHD

• Mental Health Counselor in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.