Individual provider Active NPI

Diane Lee Grimaldi, R.N., M.S., C.S.

  • Professional Counselor
  • Belmont, MA
National Provider Identifier
1841362589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
125374 Issued in MA
Practice address
90 Concord Ave
Suite #2
Belmont, MA 02478-4046
Phone
(617) 489-7354
Fax
(617) 489-8068
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 125374 MA Primary

Addresses

Primary practice location

90 Concord Ave
Suite #2
Belmont, MA 02478-4046

Mailing address

4 Ocean View Dr
Gloucester, MA 01930-4227
Phone (978) 283-3414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 25, 2019 through Sep 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
125374MAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841362589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OCEAN VIEW DR",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019304227",
            "telephone_number": "978-283-3414",
            "fax_number": "978-231-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 CONCORD AVE",
            "address_2": "SUITE #2",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024784046",
            "telephone_number": "617-489-7354",
            "fax_number": "617-489-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIMALDI",
        "first_name": "DIANE",
        "middle_name": "LEE",
        "credential": "R.N., M.S., C.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MA",
            "license": "125374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, MA

Sources for this page

Verify at the official NPI Registry.