Active NPI
Julia Ridgeway-Diaz, MD
- Psychiatry Physician
- Houston, TX
National Provider Identifier
1811351901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- S4558
- Practice address
- 12301 Main St
Houston, TX 77035-6207 - Phone
- (713) 275-5432
- NPI assigned
- Apr 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | S4558 | TX | Primary |
| Behavioral Neurology & Neuropsychiatry Physician | 2084B0040X | S4558 | TX |
Addresses
Primary practice location
12301 Main St
Houston, TX 77035-6207
Mailing address
12301 Main St
Houston, TX 77035-6207
Phone (713) 275-5432
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S4558 | TX | MD | Behavioral Neurology & Neuropsychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1811351901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12301 MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770356207",
"telephone_number": "713-275-5432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12301 MAIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770356207",
"telephone_number": "713-275-5432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDGEWAY-DIAZ",
"first_name": "JULIA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-05",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "S4558",
"primary": true
},
{
"code": "2084B0040X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
"state": "TX",
"license": "S4558",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.