Active NPI
Diana Patricia Tognazzini, PH.D.
- Clinical Psychologist
- Lakewood, WA
National Provider Identifier
1821015579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2090
- Practice address
- 6212 75TH St W
Lakewood, WA 98499-8368 - Phone
- (253) 983-8507
- NPI assigned
- Jul 17, 2006
- 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 | 2090 | WA | Primary |
Addresses
Primary practice location
6212 75TH St W
Lakewood, WA 98499-8368
Mailing address
11407 Guthrie Rd
Anderson Island, WA 98303-9775
Phone (253) 884-5027
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131907 | Other | WA | LABOR AND INDUSTRY |
| 7100753 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2090 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198108800000",
"number": "1821015579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11407 GUTHRIE RD",
"city": "ANDERSON ISLAND",
"state": "WA",
"postal_code": "983039775",
"telephone_number": "253-884-5027",
"fax_number": "253-884-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6212 75TH ST W",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984998368",
"telephone_number": "253-983-8507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOGNAZZINI",
"first_name": "DIANA",
"middle_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2007-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "2090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRY",
"identifier": "131907",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100753",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.