Karla L Diffin, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS1355 Issued in ME

Legal business name

KARLA L DIFFIN, INC

Practice address

3 Walcott St
South Paris, ME 04281-5924

Phone

(207) 330-1834

NPI assigned

Jun 3, 2016

Organization subpart

No

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

Authorized official

Name

Karla L Diffin, PHDNPI 1295956480

Title

Owner

Phone

(207) 330-1834

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karla L Diffin, PHD

  • Psychologist
  • South Paris, ME
  • NPI 1295956480
  Medicare reassignment NPD Authorized official
• Beata Anna Wiktor, PSY.D

  • Psychologist
  • Gray, ME
  • NPI 1528398104
  NPD (past)

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1679922306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2074",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042112074",
            "telephone_number": "207-330-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WALCOTT ST",
            "city": "SOUTH PARIS",
            "state": "ME",
            "postal_code": "042815924",
            "telephone_number": "207-330-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARLA L DIFFIN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "DIFFIN",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-330-1834",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS1355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Falso
• Family Counseling Services
• Tobie Feigenbaum, LCSW
• Taylor Morgan Hjelmeland, MA CCC-SLP
• Aaron Im, D.M.D.
• Taylor Marie Kemp, LCSW LADC CCS
• Myung Joon Kim, D.M.D.
• Sarah Renee Lane, CADC
• Maine Veterans' Home
• Maine Veterans' Homes

• Psychologist in South Paris, ME
• Providers in South Paris, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.