Dorsey D. Diaz, Psy.D., PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0712 Issued in NV

Legal business name

DORSEY D. DIAZ, PSY.D., PLLC

Doing business as

JSM Psychological Services

Practice address

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

Phone

(775) 434-7132

NPI assigned

Jun 16, 2014

Last updated

Mar 13, 2016By the provider in NPPES

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other names 1

• JSM Psychological Services Doing business as

Locations

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.

• Dorsey D Diaz, PSYD

  • Psychologist
  • Carson City, NV
  • NPI 1801160064

  Clinical

  NPD (past) Authorized official

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": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JSM Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Doering, MD
• Gladys Pascual Dolor, APRN
• Adrianna Domaratuis
• Donald Campbell (Donald Campbell Psychology)
• Andrea Maria Doran, PH.D.
• Jill Dove
• William Duncan Downie, D.D.S.
• Brittany Nicole Downing, MD
• Carmella Anne Downing, PA
• Downtown Vision, Inc (Downtown Vision)

• Clinical Psychologist in Carson City, NV
• Providers in Carson City, NV by specialty
• Clinical Psychologist in Nevada

• 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.