Active NPI
Diann Lynn Sanford, PSYD.,LP.,LPC
- Clinical Psychologist
- Plano, TX
National Provider Identifier
1912414541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 38403
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74944 | TX | MD | Professional Counselor |
| 38403 | TX | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Focus Point Solutions , LLC | Current | Accepting new patients | |
| Focus Point Solutions LLC | Current | Accepting new patients | |
| Siebert Psychological Services PLLC | Clinical | Current | Accepting new patients |
| Counseling Associates of Central Texas | Past | Accepting new patients | |
| Professional Counseling Associates PLLC | Past | 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.
-
- Community/Behavioral Health Agency
- Tomball, TX
- NPI 1649012063
-
- Clinical Psychologist
- Austin, TX
- NPI 1942952726
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Princess Anne, MD
- NPI 1396697462
-
- Marriage & Family Therapist
- Killeen, TX
- NPI 1104365972
-
- Mental Health Counselor
- Killeen, TX
- NPI 1649714643
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.