Ronda Pretzlaff Diegel, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301006731 Issued in MI

Practice address

55 N Pond Dr
Suite 6
Walled Lake, MI 48390-3080

Phone

(248) 730-0597

Fax

(248) 669-1924

NPI assigned

Feb 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John Kitzmiller M.D. PC

  • Addiction Medicine (Family Medicine) Physician
  • Lake Orion, MI
  • NPI 1518393800
  Medicare reassignment NPD

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1881872141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N POND DR",
            "address_2": "SUITE 6",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903080",
            "telephone_number": "248-730-0597",
            "fax_number": "248-669-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N POND DR",
            "address_2": "SUITE 6",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903080",
            "telephone_number": "248-730-0597",
            "fax_number": "248-669-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEGEL",
        "first_name": "RONDA",
        "middle_name": "PRETZLAFF",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Deary
• Deirdre Jane Denholm, RN, PMHNP
• Mariah Evelyn Dennard, LLMSW
• Rick Jerome Deroven, DDS
• Devoted Care Unlimited LLC
• Easterseals Morc Health Care, Inc.
• Paul Eckley, D.C.
• Lauren Kenyon England, CMA, PRS
• Executive Case Management LLC
• Family Urgent Care PLLC

• Clinical Psychologist in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.