Diana Medina, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-004607 Issued in AZ

Practice address

16220 N Scottsdale Rd Ste 300
Scottsdale, AZ 85254-1798

Phone

(480) 328-8464

NPI assigned

Oct 14, 2014

Last updated

Oct 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Diana Milner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2020 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Elevate Psychology, LLC

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1710708144
  NPD Authorized official
• Balanced Life Psychology, LLC

  dba Dr. Diana Milner, PhD

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1912409707
  Authorized official Same address or phone
• Roya Health, LLC

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1396453916
  NPD (past)

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1760886121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50384",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850760384",
            "telephone_number": "602-796-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 N SCOTTSDALE RD STE 300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541798",
            "telephone_number": "480-328-8464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18291 N Pima Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852555698",
            "country_code": "US",
            "telephone_number": "602-796-7081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-004607",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "MILNER",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Medicare Trans L.L.C.
• Medicine Man Inc
• Medige, LLC
• Anna Maria Medina-Skouson
• David Medina, M.D.
• Boceifus Omar Medlin, CRNA
• Medpoint LLC
• Medshape Weight Loss Clinic LLC
• Medspa by Soul Surgery, LLC
• Medstart

• Clinical Psychologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.