Individual provider Active NPI

Diane Barbara Vanarsdale, PH.D.

  • Clinical Psychologist
  • Benicia, CA
National Provider Identifier
1669538831
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY9613 Issued in CA
Practice address
801 E 2ND St
Suite 101
Benicia, CA 94510-3347
Phone
(707) 416-6525
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY9613 CA Primary

Addresses

Primary practice location

801 E 2ND St
Suite 101
Benicia, CA 94510-3347

Mailing address

801 E 2ND St
Suite 101
Benicia, CA 94510-3347
Phone (707) 416-6525

Other names 1

  • Dr. Diane Barbara Van Arsdale-Harris Other name

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY9613CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1669538831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E 2ND ST",
            "address_2": "SUITE 101",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103347",
            "telephone_number": "707-416-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E 2ND ST",
            "address_2": "SUITE 101",
            "city": "BENICIA",
            "state": "CA",
            "postal_code": "945103347",
            "telephone_number": "707-416-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANARSDALE",
        "first_name": "DIANE",
        "middle_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "VAN ARSDALE-HARRIS",
            "middle_name": "BARBARA",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Benicia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.