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
- Last updated
- Sep 9, 2025
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.