NPIMap

Organization Active NPI

Diane Abdo Psy D PA

  • Clinical Psychologist
  • Boca Raton, FL
National Provider Identifier
1831429695
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY003959 Issued in FL
Legal business name
DIANE ABDO PSY D PA
Practice address
398 Camino Gardens Blvd
Suite 106
Boca Raton, FL 33432-5827
Phone
(561) 393-5363
Fax
(561) 361-6706
NPI assigned
Dec 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Diane R Abdo, PSY DNPI 1043368350
Title
President
Phone
(561) 393-5363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY003959 FL Primary

Addresses

Primary practice location

398 Camino Gardens Blvd
Suite 106
Boca Raton, FL 33432-5827

Mailing address

7673 Sierra Ter W
Boca Raton, FL 33433-3315
Phone (561) 393-5363

National Provider Directory

National Provider Directory

Locations

398 Camino Gardens Blvd
Ste 106
Boca Raton, FL 33432
Phone (561) 393-5363

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1831429695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7673 SIERRA TER W",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333315",
            "telephone_number": "561-393-5363",
            "fax_number": "561-361-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 CAMINO GARDENS BLVD",
            "address_2": "SUITE 106",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325827",
            "telephone_number": "561-393-5363",
            "fax_number": "561-361-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE ABDO PSY D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "ABDO",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-393-5363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY003959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.