Marely Diana, PHD, MA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5789 Issued in PR

Practice address

Calle Palmer #6 Esquina Norte, Francisco G. Bruno
Guayama, PR 00784

Phone

(787) 469-2111

NPI assigned

Jun 12, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neomed Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Gurabo, PR
  • NPI 1790776334

  Multi-Specialty

  Medicare reassignment NPD
• Neomed Center, Inc

  • Clinical Medical Laboratory
  • Gurabo, PR
  • NPI 1518286962
  NPD
• Neomed Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Naguabo, PR
  • NPI 1093357337
  NPD

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1780243899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007850041",
            "telephone_number": "787-469-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PALMER #6 ESQUINA NORTE, FRANCISCO G. BRUNO",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-469-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Urb estancias de dulces suenos",
            "address_2": "A3 Calle 2",
            "address_purpose": "LOCATION",
            "city": "Guayama",
            "state": "PR",
            "postal_code": "00784",
            "country_code": "US",
            "telephone_number": "787-469-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIANA",
        "first_name": "MARELY",
        "name_prefix": "Dr.",
        "credential": "PHD, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "5789",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": "PR",
            "license": "5789",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESIONAL PRACTICE LICENSE",
            "identifier": "5789",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUNTA EXAMINADORA DE PSICOLOGOS DE PR",
            "identifier": "5789",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Marelydiana@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Contact information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "Urb estancias de dulces suenos",
            "address_2": "Calle 2 A-3",
            "city": "Guayama",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00784",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "valorem.psy@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct",
            "address_1": "Calle Palmer #6 Esquina Norte, Francisco G. Bruno",
            "city": "Guayama",
            "state": "PR",
            "country_code": "US",
            "postal_code": "00784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Asia Elizabeth Delgado Lorenzo, M.D.
• Jose Arturo Delgado Lorenzo
• Leyshla Robetsy Delgado Rodriguez, MSW
• Ludivina Delgado, LICENSED OPTICIAN
• Dental Services Center, Inc
• Maria Diaz Rodriguez
• Magda Iris Diaz Velazquez, O.D.
• Gladymar Diaz
• Jorge Amaro Diaz, M.S.W.
• Yesmarie Diaz, MS

• Clinical Psychologist in Guayama, PR
• Providers in Guayama, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.