Active NPI
Diana Elaine Damer, PH.D.
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1972876274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32700
- Practice address
- 8701 Shoal Creek Blvd
Suite 404
Austin, TX 78757-6864 - Phone
- (512) 879-1836
- Fax
- (512) 371-7145
- NPI assigned
- Feb 16, 2012
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 32700 | TX | Primary |
Addresses
Primary practice location
8701 Shoal Creek Blvd
Suite 404
Austin, TX 78757-6864
Mailing address
8701 Shoal Creek Blvd
Suite 404
Austin, TX 78757-6864
Phone (512) 879-1836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32700 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anxiety Treatment Center of Austin, PLLD | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Austin, TX
- NPI 1467830703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1972876274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8701 SHOAL CREEK BLVD",
"address_2": "SUITE 404",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787576864",
"telephone_number": "512-879-1836",
"fax_number": "512-371-7145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 SHOAL CREEK BLVD",
"address_2": "SUITE 404",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787576864",
"telephone_number": "512-879-1836",
"fax_number": "512-371-7145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMER",
"first_name": "DIANA",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-16",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "32700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.