Individual provider Active NPI

Diane Royce Colman, MFT, PH.D

  • Marriage & Family Therapist
  • Palm Desert, CA
National Provider Identifier
1902022189
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 33692 Issued in CA
Practice address
44775 Deep Canyon Rd
Palm Desert, CA 92260-3724
Phone
(760) 340-4443
Fax
(760) 771-2885
NPI assigned
Apr 17, 2007
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
Marriage & Family Therapist 106H00000X MFC 33692 CA Primary

Addresses

Primary practice location

44775 Deep Canyon Rd
Palm Desert, CA 92260-3724

Mailing address

50420 Via Amante
La Quinta, CA 92253-7554
Phone (760) 340-4443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC 33692CAMDMarriage & Family Therapist
33692CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902022189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50420 VIA AMANTE",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537554",
            "telephone_number": "760-340-4443",
            "fax_number": "760-771-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44775 DEEP CANYON RD",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603724",
            "telephone_number": "760-340-4443",
            "fax_number": "760-771-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLMAN",
        "first_name": "DIANE",
        "middle_name": "ROYCE",
        "name_prefix": "Dr.",
        "credential": "MFT, PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 33692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.