Active NPI
Lele Diamond, MFT
- Family Psychologist
- San Francisco, CA
National Provider Identifier
1891949780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- MFT40324
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MFT40324 | CA | MD | Clinical Child & Adolescent Psychologist |
| 40324 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Symbio | Clinical Child & Adolescent | Current | 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.