Active NPI
Mary Elizabeth Diamond, D.O.
- Child & Adolescent Psychiatry Physician
- Paoli, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- OS008869L
- Practice address
- 41 Paoli PLZ
Suite D1
Paoli, PA 19301-1367 - Phone
- (610) 296-9238
- Fax
- (610) 296-9239
- NPI assigned
- May 13, 2007
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | OS008869L | PA | Primary |
Addresses
Primary practice location
41 Paoli PLZ
Suite D1
Paoli, PA 19301-1367
Mailing address
41 Paoli PLZ
Suite D1
Paoli, PA 19301-1367
Phone (610) 296-9238
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180521001313 | DE | Practitioner - Psychiatry | 2668737701 | Reassigns benefits to 1 organization |
| I20251023000018 | PA | Practitioner - Psychiatry | 2668737701 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Philadelphia College of Osteopathic Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Med Psych Services LLC
Practice addresses (Care Compare)
5163 W Woodmill Dr
Suite 13
Wilmington, DE 19808-4067
Phone (302) 660-7200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS008869L | PA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Philadelphia Health Action Inc. | Current | Accepting new patients | |
| Greater Philadelphia Health Action Inc. | Current | Accepting new patients | |
| Greater Philadelphia Health Action, Inc. | Current | Accepting new patients | |
| Med Psych Services LLC | Child & Adolescent Psychiatry | Current | Accepting new patients |
Locations
5163 W Woodmill Dr
Ste 13
Wilmington, DE 19808
Phone (302) 660-7200
5501 Woodland Ave
Philadelphia, PA 19143
Phone (215) 724-4700
432 N 6th St
Philadelphia, PA 19123
Phone (215) 627-8000
1401 S 4th St
Philadelphia, PA 19147
Phone (215) 339-1070
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Wilmington, DE
- NPI 1790284834
Child & Adolescent Psychiatry, DE
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1205140902
PA
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1952356867
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1275151607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962617837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 PAOLI PLZ",
"address_2": "SUITE D1",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011367",
"telephone_number": "610-296-9238",
"fax_number": "610-296-9239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 PAOLI PLZ",
"address_2": "SUITE D1",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011367",
"telephone_number": "610-296-9238",
"fax_number": "610-296-9239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOND",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "OS008869L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- 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.