Active NPI
Diegue Group
- Psychiatry Physician
- Rosedale, MD
National Provider Identifier
1952185241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lashire Diegue, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatry Physician
- Glen Burnie, MD
- NPI 1245465871
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.