Individual provider Active NPI

Robert Diehl, PHD

  • Counseling Psychologist
  • Boulder, CO
National Provider Identifier
1992081053
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
03259 Issued in KS
Practice address
2500 30TH St Ste 206
Boulder, CO 80301-1258
Phone
(720) 619-0531
NPI assigned
Nov 2, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 0005599 CO
Counseling Psychologist 103TC1900X 03259 KS Primary

Addresses

Primary practice location

2500 30TH St Ste 206
Boulder, CO 80301-1258

Mailing address

800 New Hampshire St Ste 110
Lawrence, KS 66044-3015

Other practice location 1

3300 Clinton Parkway Ct Ste 201
Lawrence, KS 66047-2657
Phone (720) 619-0531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0005599COMDCounseling Psychologist
03259KSMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Diehl & Diehl Psychology, Speech, and Performance, LLC Counseling CurrentSince Dec 17, 2023 Accepting new patients

Locations

3300 Clinton Parkway Ct
Ste 201
Lawrence, KS 66047
Phone (308) 293-7892

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.

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1992081053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NEW HAMPSHIRE ST STE 110",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660443015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 30TH ST STE 206",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011258",
            "telephone_number": "720-619-0531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Clinton Parkway Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660472657",
            "country_code": "US",
            "telephone_number": "720-619-0531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEHL",
        "first_name": "ROBERT",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-02",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "0005599",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "03259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.