Active NPI
Diana Patricia Spieker, LAC
- Mental Health Counselor
- Saddle Brook, NJ
National Provider Identifier
1801480306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37AC00564200
- Practice address
- 200 N 6TH St Apt 8
Saddle Brook, NJ 07663-6257 - Phone
- (201) 679-1755
- NPI assigned
- Feb 24, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00564200 | NJ | Primary |
Addresses
Primary practice location
200 N 6TH St Apt 8
Saddle Brook, NJ 07663-6257
Mailing address
200 N 6TH St Apt 8
Saddle Brook, NJ 07663-6257
Phone (201) 679-1755
Other names 1
- Diana Patricia Gallo
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00564200 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1801480306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N 6TH ST APT 8",
"city": "SADDLE BROOK",
"state": "NJ",
"postal_code": "076636257",
"telephone_number": "201-679-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N 6TH ST APT 8",
"city": "SADDLE BROOK",
"state": "NJ",
"postal_code": "076636257",
"telephone_number": "201-679-1755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIEKER",
"first_name": "DIANA",
"middle_name": "PATRICIA",
"credential": "LAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-24",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00564200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "GALLO",
"middle_name": "PATRICIA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Saddle Brook, NJ
- Hung Sug William Song, M.D.
- Stephanie Ingram Song, MS, RD, CDE
- William C Speciale, PT
- Specialty Medical Services
- Speech Therapy Connections LLC
- Spine & Rehabilitation Center of Saddle Brook
- Kerryn Michelle St. Andre, PT, DPT
- Starlight Home Care Agency, Inc
- Edward Joseph Suchora, D.M.D.
- Edwin J Sullivan, DO FACOS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.