Active NPI
Diane Lee Grimaldi, R.N., M.S., C.S.
- Professional Counselor
- Belmont, MA
National Provider Identifier
1841362589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 125374
- 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
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 |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 125374 | MA | MD | Professional 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.