Individual provider Active NPI

Leah Judith Diskin

  • Psychologist
  • Jamaica Plain, MA
National Provider Identifier
1649585100
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
10169 Issued in MA
Practice address
640 Centre St
Jamaica Plain, MA 02130-2555
Phone
(617) 983-4217
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 10169 MA Primary

Addresses

Primary practice location

640 Centre St
Jamaica Plain, MA 02130-2555

Mailing address

640 Centre St
Jamaica Plain, MA 02130-2555
Phone (617) 983-4217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160106001572 MA Practitioner - Clinical Psychologist 3072815158 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10169MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Hospital Current Accepting new patients
Brigham & Womens Hospital, Inc. CurrentSince Jun 13, 2016 Accepting new patients
Brookline Community Mental Health Center Inc. Psychologist CurrentSince Oct 25, 2015 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

43 Garrison Rd
Brookline, MA 02445
Phone (617) 277-8107

640 Centre St
Jamaica Plain, MA 02130
Phone (617) 983-4100

399 Revolution Dr
Somerville, MA 02145
Phone (800) 856-1983

Interoperability endpoints

  • Direct secure messaging: diskin.leah.bwh@direct.partners.masshiway.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1649585100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302555",
            "telephone_number": "617-983-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021302555",
            "telephone_number": "617-983-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISKIN",
        "first_name": "LEAH",
        "middle_name": "JUDITH",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "10169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

Verify at the official NPI Registry.