NPIMap

Organization Active NPI

Dorsey D. Diaz, Psy.D., PLLC

  • Clinical Psychologist
  • Carson City, NV
National Provider Identifier
1780098954
Registry record updated Mar 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY0712 Issued in NV
Legal business name
DORSEY D. DIAZ, PSY.D., PLLC
Practice address
502 E John St
Suite B
Carson City, NV 89706-3099
Phone
(775) 434-7132
NPI assigned
Jun 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2016

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

Authorized official

Name
Dr. Dorsey Diaz, PSY.D.NPI 1801160064
Title
Owner/President
Phone
(775) 430-2244

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY0712 NV Primary

Addresses

Primary practice location

502 E John St
Suite B
Carson City, NV 89706-3099

Mailing address

PO Box 1205
Carson City, NV 89702-1205

Other names 1

  • JSM Psychological Services Doing business as

National Provider Directory

National Provider Directory

Locations

502 E John St
Ste B
Carson City, NV 89706
Phone (775) 434-7132

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457827200000",
    "number": "1780098954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1205",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897021205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E JOHN ST",
            "address_2": "SUITE B",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897063099",
            "telephone_number": "775-434-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORSEY D. DIAZ, PSY.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2016-03-13",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "DORSEY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "775-430-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JSM Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2016; 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.