Active NPI
Daphne Yary Gonzalez Diaz, PHD, LP
- Clinical Psychologist
- Ann Arbor, MI
National Provider Identifier
1780449298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301019747
- Practice address
- 2350 Washtenaw Ave Ste 3
Ann Arbor, MI 48104-4526 - Phone
- (734) 369-4992
- NPI assigned
- Feb 14, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301019747 | MI | Primary |
Addresses
Primary practice location
2350 Washtenaw Ave Ste 3
Ann Arbor, MI 48104-4526
Mailing address
512 Mosaic Blvd
Daytona Beach, FL 32124-3777
Phone (586) 531-2507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301019747 | MI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joy Family Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Okemos, MI
- NPI 1104291723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1780449298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 MOSAIC BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321243777",
"telephone_number": "586-531-2507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 WASHTENAW AVE STE 3",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481044526",
"telephone_number": "734-369-4992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ DIAZ",
"first_name": "DAPHNE",
"middle_name": "YARY",
"credential": "PHD, LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-14",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301019747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.