Laura Adriana Dietmann, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

11443 Issued in MA

Practice address

112 Water St Ste 400
Boston, MA 02109-4211

Phone

(617) 315-8856

NPI assigned

Jan 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Abk Counseling & Wellness, LLC

  • Psychologist
  • Boston, MA
  • NPI 1538575782
  NPD

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

{
    "created_epoch": "1485043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1972040483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 HEMLOCK SPRINGS RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030385293",
            "telephone_number": "203-258-2139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WATER ST STE 400",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021094211",
            "telephone_number": "617-315-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETMANN",
        "first_name": "LAURA",
        "middle_name": "ADRIANA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-22",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "11443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jules Leonard Dienstag, MD
• Bradford James Diephuis, M.D.
• Gillian Ruth Diercks, M.D.
• Kira A Dies, SCM
• Samantha Bobbi Dietel
• Christopher Dietrich
• Jorg Dietrich, MD PHD
• Isabelle Dieu, PHARMD
• Emily Diezemann
• Liliana Esther Difabio, DMD

• Clinical Psychologist in Boston, MA
• Providers in Boston, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.