David F Diaz

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0091961 Issued in NY

Practice address

3046 Northern Blvd
Long Island City, NY 11101-2816

Phone

(718) 424-6191

Fax

(212) 896-6530

NPI assigned

Mar 8, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1760077085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 BLEECKER ST APT 2E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112218134",
            "telephone_number": "347-387-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3046 NORTHERN BLVD",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111012816",
            "telephone_number": "718-424-6191",
            "fax_number": "212-896-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "DAVID",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-08",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "0091961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Device-laptop",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "148 Bleecker St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112218133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniela Di Caro
• Aminata Diallo
• Melissa Ivy Diamond, PT
• Marina Diaz-Fonseca
• Adolfo Santisima Diaz-Toro, MA CMHC, CASAC T.
• Iris Diaz
• Josephine Diaz
• Jean Dicker, CDN
• Sonya Dickerson, LCSW
• Khanh Linh Diep

• Mental Health Counselor in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.