Individual provider Active NPI

Diann Lynn Sanford, PSYD.,LP.,LPC

  • Clinical Psychologist
  • Plano, TX
National Provider Identifier
1912414541
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
38403 Issued in TX
Practice address
1820 Preston Park Blvd Ste 2200
Plano, TX 75093-3614
Phone
(972) 589-8121
NPI assigned
Jan 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 74944 TX
Clinical Psychologist 103TC0700X 38403 TX Primary

Addresses

Primary practice location

1820 Preston Park Blvd Ste 2200
Plano, TX 75093-3614

Mailing address

1820 Preston Park Blvd Ste 2200
Plano, TX 75093-3614
Phone (972) 589-8121

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ds@change-well.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210621003084 TX Practitioner - Clinical Psychologist 5698175172 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74944TXMDProfessional Counselor
38403TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Point Solutions , LLC CurrentSince Jan 15, 2025 Accepting new patients
Focus Point Solutions LLC CurrentSince Jan 15, 2025 Accepting new patients
Siebert Psychological Services PLLC Clinical CurrentSince Mar 14, 2025 Accepting new patients
Counseling Associates of Central Texas Past Accepting new patients
Professional Counseling Associates PLLC PastSince May 1, 2017 Accepting new patients

Locations

9701 Brodie Ln
Ste 205
Austin, TX 78748
Phone (281) 636-0451

1017 W Main St
Tomball, TX 77375
Phone (281) 255-4746

Organizations & group practices 5

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": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1912414541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD STE 2200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933614",
            "telephone_number": "972-589-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD STE 2200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933614",
            "telephone_number": "972-589-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "DIANN",
        "middle_name": "LYNN",
        "credential": "PSYD.,LP.,LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74944",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ds@change-well.com",
            "affiliation": "N",
            "address_1": "1820 Preston Park Blvd Ste 2200",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750933614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.