Individual provider Active NPI

Georgia M. Diakos, RN,PMHCNS-BC, APN, C

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • East Rutherford, NJ
National Provider Identifier
1720143472
Registry record updated Feb 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
26NJ00082900 Issued in NJ
Practice address
186 Paterson Ave
Suite 304
East Rutherford, NJ 07073-1837
Phone
(201) 394-6219
NPI assigned
Dec 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 26NJ00082900 NJ Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 7883494 NY

Addresses

Primary practice location

186 Paterson Ave
Suite 304
East Rutherford, NJ 07073-1837

Mailing address

186 Paterson Ave
Suite 304
East Rutherford, NJ 07073-1837
Phone (201) 394-6219

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
7883494NYMDAdult Psychiatric/Mental Health Registered Nurse
26NJ00082900NJMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1166832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391212800000",
    "number": "1720143472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 PATERSON AVE",
            "address_2": "SUITE 304",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731837",
            "telephone_number": "201-394-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 PATERSON AVE",
            "address_2": "SUITE 304",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731837",
            "telephone_number": "201-394-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAKOS",
        "first_name": "GEORGIA",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "RN,PMHCNS-BC, APN, C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-23",
        "last_updated": "2014-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NJ00082900",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "7883494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rutherford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2014; 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.