Organization Active NPI

Diegue Group

  • Psychiatry Physician
  • Rosedale, MD
National Provider Identifier
1952185241
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DIEGUE GROUP
Practice address
6700 Ridge Rd Ste 1
Rosedale, MD 21237-3960
Phone
(973) 964-5107
NPI assigned
Aug 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Dr. Lashire Diegue, MDNPI 1245465871
Title
Owner
Phone
(973) 964-5107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

6700 Ridge Rd Ste 1
Rosedale, MD 21237-3960

Mailing address

202 Blum CT Unit 1816
Bel Air, MD 21014-8572

Other names 1

  • Lifestyle Psychiatry and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231220001398 MD Part B Supplier - Clinic/Group Practice 8224488051 Receives reassigned benefits from 1 practitioner
Practice locations: Rosedale, MD

National Provider Directory

National Provider Directory

Locations

202 Blum Ct
Unit 1816
Bel Air, MD 21014

6700 Ridge Rd
Ste 1
Rosedale, MD 21237
Phone (410) 914-7862

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1952185241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BLUM CT UNIT 1816",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210148572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 RIDGE RD STE 1",
            "city": "ROSEDALE",
            "state": "MD",
            "postal_code": "212373960",
            "telephone_number": "973-964-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIEGUE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "DIEGUE",
        "authorized_official_first_name": "LASHIRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-964-5107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Psychiatry and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lifestyle Psychiatry and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rosedale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.