Dayna M.V. Diaz, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY002970 Issued in GA

Practice address

1770 Old Spring House LN
Suite 114
Atlanta, GA 30338-6213

Phone

(770) 452-5353

Fax

(770) 452-5363

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Psychological Services of Atlanta, LLC

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1922286731
  NPD (past) Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1679624100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 OLD SPRING HOUSE LN",
            "address_2": "SUITE 114",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386213",
            "telephone_number": "770-452-5353",
            "fax_number": "770-452-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 OLD SPRING HOUSE LN",
            "address_2": "SUITE 114",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386213",
            "telephone_number": "770-452-5353",
            "fax_number": "770-452-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "DAYNA",
        "middle_name": "M.V.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002970",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "PSY002970",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "GA",
            "license": "PSY002970",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP PROVIDER NUMBE",
            "identifier": "10059861",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACHSTATE CENPATICO",
            "identifier": "103882",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayanna Vanessa Diaz Acosta
• Enrique Diaz Guzman Zavala, M.D.
• Lizbeth Diaz Yabuku
• Peter Diaz-Alonso, M.D.
• Saul Enmanuel Diaz-Marin, PMHNP-BC, FNP-BC
• Diana Zoila Diaz, PHARMD
• Emily Diaz
• Esmeralda I Diaz
• Gabriela Maria Diaz, DO
• Pamela Sue Diaz, M.D.

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.