Active NPI
Charleen Diaz
- Health Psychologist
- Kissimmee, FL
National Provider Identifier
1831745512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Psychologist
- Practice address
- 771 Lucaya Dr
Kissimmee, FL 34758-3279 - Phone
- (321) 900-5159
- NPI assigned
- Aug 17, 2019
- 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 |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | |||
| Health Psychologist | 103TH0004X | Primary |
Addresses
Primary practice location
771 Lucaya Dr
Kissimmee, FL 34758-3279
Mailing address
771 Lucaya Dr
Kissimmee, FL 34758-3279
Phone (321) 900-5159
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566000000000",
"number": "1831745512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "771 LUCAYA DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347583279",
"telephone_number": "321-900-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "771 LUCAYA DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347583279",
"telephone_number": "321-900-5159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAZ",
"first_name": "CHARLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-17",
"last_updated": "2019-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.