Individual provider Active NPI

Robert Proctor Diamond, M.A.

  • EEG Specialist/Technologist
  • Prescott Valley, AZ
National Provider Identifier
1679786974
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EEG Specialist/TechnologistTaxonomy code 246ZE0500X
Practice address
7592 E Palo Verde St
Suite a
Prescott Valley, AZ 86314-3235
Phone
(928) 227-2900
Fax
(928) 277-1494
NPI assigned
May 7, 2007
Last updated
Jan 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X NU
EEG Specialist/Technologist 246ZE0500X NU Primary

Addresses

Primary practice location

7592 E Palo Verde St
Suite a
Prescott Valley, AZ 86314-3235

Mailing address

7592 E Palo Verde St
Suite a
Prescott Valley, AZ 86314-3235
Phone (928) 227-2900

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)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Neurofeedback Center LLC Eeg Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1679786974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7592 E PALO VERDE ST",
            "address_2": "SUITE A",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863143235",
            "telephone_number": "928-227-2900",
            "fax_number": "928-277-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7592 E PALO VERDE ST",
            "address_2": "SUITE A",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863143235",
            "telephone_number": "928-227-2900",
            "fax_number": "928-277-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "ROBERT",
        "middle_name": "PROCTOR",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.