Individual provider Active NPI

Lele Diamond, MFT

  • Family Psychologist
  • San Francisco, CA
National Provider Identifier
1891949780
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
MFT40324 Issued in CA
Practice address
393 Seventh Avenue Suite 302
Symbio Inc
San Francisco, CA 94118
Phone
(415) 648-3243
Fax
(415) 590-2330
NPI assigned
Nov 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X MFT40324 CA
Marriage & Family Therapist 106H00000X 40324 CA
Marriage & Family Therapist 106H00000X MFT40324 CA
Family Psychologist 103TF0000X MFT40324 CA Primary

Addresses

Primary practice location

393 Seventh Avenue Suite 302
Symbio Inc
San Francisco, CA 94118

Mailing address

111 Forrest Ave
Symbio Inc
Fairfax, CA 94930
Phone (415) 648-3243

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

State licenses

LicenseStateTypeSpecialty
MFT40324CAMDClinical Child & Adolescent Psychologist
40324CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Symbio Clinical Child & Adolescent CurrentSince Oct 25, 2020 Accepting new patients

Locations

393 7th Ave
Ste 302
San Francisco, CA 94118
Phone (415) 648-3243

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891949780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FORREST AVE",
            "address_2": "SYMBIO INC",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "94930",
            "telephone_number": "415-648-3243",
            "fax_number": "415-590-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 SEVENTH AVENUE SUITE 302",
            "address_2": "SYMBIO INC",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94118",
            "telephone_number": "415-648-3243",
            "fax_number": "415-590-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "LELE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "MFT40324",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "40324",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT40324",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "MFT40324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.