Active NPI
Michele J Diamond, M.ED.,M.S./CAS, LPES
- School Psychologist
- Murrells Inlet, SC
National Provider Identifier
1821404542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4606
- Practice address
- 5187 Horry Dr
Murrells Inlet, SC 29576-5242 - Phone
- (716) 400-8707
- NPI assigned
- Jul 2, 2014
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4606 | SC | Primary |
Addresses
Primary practice location
5187 Horry Dr
Murrells Inlet, SC 29576-5242
Mailing address
27 Clay Drive
Pawleys Island, SC 29585-9998
Phone (716) 400-8707
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
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4606 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1821404542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 CLAY DRIVE",
"city": "PAWLEYS ISLAND",
"state": "SC",
"postal_code": "295859998",
"telephone_number": "716-400-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5187 HORRY DR",
"city": "MURRELLS INLET",
"state": "SC",
"postal_code": "295765242",
"telephone_number": "716-400-8707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "MICHELE",
"middle_name": "J",
"credential": "M.ED.,M.S./CAS, LPES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-02",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "SC",
"license": "4606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murrells Inlet, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.