Diane Hardwick Bryan, MPS, PH.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

62311 Issued in TX

Practice address

851 Gomez Rd
El Paso, TX 79932-4205

Phone

(915) 585-3884

Fax

(915) 581-6708

NPI assigned

Aug 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• On-Site Crisis Intervention LLC

  • Professional Counselor
  • El Paso, TX
  • NPI 1720341753

  Addiction (Substance Use Disorder)

  NPD (past) Authorized official

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1932488921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 GOMEZ RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799324205",
            "telephone_number": "915-585-3884",
            "fax_number": "915-581-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 GOMEZ RD",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799324205",
            "telephone_number": "915-585-3884",
            "fax_number": "915-581-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "DIANE",
        "middle_name": "HARDWICK",
        "name_prefix": "Dr.",
        "credential": "MPS, PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62311",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "7697",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "3432",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0039",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14324059",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felice Luigi Bruno, M.D.
• Gianna Lea Brunone, OTR
• Haley Jo Bruns, DPT
• Sandra A Bruss Hand, L.P.C
• Brittany Nichole Bryan, RN
• Earl David Bryan, M.D.
• Jerry L Bryan, PH.D.
• Arthur William Bryant, D.M.D.
• Michael Brywka III, DO
• Amy Elizabeth Brzuchalski, DNP, PMHNP-BC

• Professional Counselor in El Paso, TX
• Providers in El Paso, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.