Active NPI
Ashley Marie Diamond
- Clinical Psychologist
- Peachtree City, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY900282
- Practice address
- 4000 Shakerag HL Ste 100
Peachtree City, GA 30269-4047 - Phone
- (509) 707-3061
- NPI assigned
- Sep 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY900282 | GA | Primary |
Addresses
Primary practice location
4000 Shakerag HL Ste 100
Peachtree City, GA 30269-4047
Mailing address
8080 Wells St Ste 2C
Senoia, GA 30276-1905
Phone (509) 707-3061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2093602 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Moses Lake Community Health Center
Practice addresses (Care Compare)
605 S Coolidge St
Suite 101
Moses Lake, WA 98837-1893
Phone (509) 765-0674
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY900282 | GA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Lake Community Health Center | Current | Accepting new patients | |
| Moses Lake Community Health Center | Current | Accepting new patients |
Locations
605 S Coolidge St
Moses Lake, WA 98837
Phone (509) 765-0674
605 S Coolidge St
#101
Moses Lake, WA 98837
Phone (509) 765-0674
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Moses Lake, WA
- NPI 1760946032
-
- Federally Qualified Health Center (FQHC)
- Moses Lake, WA
- NPI 1699862813
-
dba Quincy Student Health and Wellness Center
- Student Health Clinic/Center
- Quincy, WA
- NPI 1730756644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1912416512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8080 WELLS ST STE 2C",
"city": "SENOIA",
"state": "GA",
"postal_code": "302761905",
"telephone_number": "509-707-3061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 SHAKERAG HL STE 100",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694047",
"telephone_number": "509-707-3061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "ASHLEY",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-26",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY900282",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2093602",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.