Organization Active NPI

Diane Hill Psychological Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salt Lake City, UT
National Provider Identifier
1962742783
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
116752-2501 Issued in UT
Legal business name
DIANE HILL PSYCHOLOGICAL SERVICES, INC.
Practice address
4505 S Wasatch Blvd
Suite 360
Salt Lake City, UT 84124-4709
Phone
(801) 440-2430
Fax
(801) 272-0906
NPI assigned
Feb 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Authorized official

Name
Dr. Diane Hill, PH.D.NPI 1710045679
Title
Owner
Phone
(801) 440-2430

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 116752-2501 UT Primary

Addresses

Primary practice location

4505 S Wasatch Blvd
Suite 360
Salt Lake City, UT 84124-4709

Mailing address

4505 S Wasatch Blvd
Suite 360
Salt Lake City, UT 84124-4709
Phone (801) 440-2430

Other names 1

  • Diane Hill, Ph.D. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130703000221 UT Part B Supplier - Clinic/Group Practice 4587804141 Receives reassigned benefits from 1 practitioner
Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory

Locations

4505 S Wasatch Blvd
Ste 360
Salt Lake City, UT 84124
Phone (801) 214-1582

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": "1360886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1962742783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 S WASATCH BLVD",
            "address_2": "SUITE 360",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244709",
            "telephone_number": "801-440-2430",
            "fax_number": "801-272-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 S WASATCH BLVD",
            "address_2": "SUITE 360",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841244709",
            "telephone_number": "801-440-2430",
            "fax_number": "801-272-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE HILL PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-440-2430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "UT",
            "license": "116752-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diane Hill, Ph.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; 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.