Organization Active NPI

Diamantina Lock LMFT

  • Marriage & Family Therapist
  • Clovis, CA
National Provider Identifier
1710507694
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
DIAMANTINA LOCK LMFT
Practice address
106 Pollasky Ave Ste C
Clovis, CA 93612-1159
Phone
(559) 346-7127
NPI assigned
Apr 21, 2020
Last updated
Sep 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Authorized official

Name
Diamantina LockNPI 1720644610
Title
LMFT
Phone
(559) 346-7127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

106 Pollasky Ave Ste C
Clovis, CA 93612-1159

Mailing address

PO Box 2427
Clovis, CA 93613-2427
Phone (559) 346-7127

National Provider Directory

National Provider Directory

Locations

106 Pollasky Ave
Ste C
Clovis, CA 93612
Phone (559) 285-4035

5151 N Palm Ave
Ste 200
Fresno, CA 93704
Phone (559) 226-1200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1710507694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2427",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936132427",
            "telephone_number": "559-346-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 POLLASKY AVE STE C",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121159",
            "telephone_number": "559-346-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMANTINA LOCK LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "LOCK",
        "authorized_official_first_name": "DIAMANTINA",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "559-346-7127"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.