Active NPI
Ralph G Diner, PH.D, M.S.C.P.
- Clinical Psychologist
- Encino, CA
National Provider Identifier
1801988431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PC7457
- Practice address
- 16944 Ventura Blvd Ste 10
Encino, CA 91316-4161 - Phone
- (818) 231-2164
- NPI assigned
- Sep 29, 2006
- Last updated
- Mar 7, 2019
- Sex
- Male
- 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 | PC7457 | CA | Primary |
Addresses
Primary practice location
16944 Ventura Blvd Ste 10
Encino, CA 91316-4161
Mailing address
20541 Hiawatha St
Chatsworth, CA 91311-2413
Phone (818) 231-2164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091106000043 | CA | Practitioner - Psychologist Billing Independently | 3971641267 | Practice locations: Encino, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7457 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuro Psychology Assessment Center Inc | 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.
-
dba Neuro Assessment Center
- Adult Mental Health Clinic/Center
- Encino, CA
- NPI 1891305074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1801988431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20541 HIAWATHA ST",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913112413",
"telephone_number": "818-231-2164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16944 VENTURA BLVD STE 10",
"city": "ENCINO",
"state": "CA",
"postal_code": "913164161",
"telephone_number": "818-231-2164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINER",
"first_name": "RALPH",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PH.D, M.S.C.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PC7457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.