Active NPI
Diana Nistor, M.D.
- Psychiatry Physician
- Ypsilanti, MI
National Provider Identifier
1992845341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301051243
- Practice address
- 5333 McAuley Dr RM 4106
Ypsilanti, MI 48197-1001 - Phone
- (734) 712-7472
- Fax
- (734) 712-5697
- NPI assigned
- Feb 7, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301051243 | MI | Primary |
Addresses
Primary practice location
5333 McAuley Dr RM 4106
Ypsilanti, MI 48197-1001
Mailing address
3788 Quail Run
Ann Arbor, MI 48105-9535
Phone (734) 712-7472
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301051243 | MI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992845341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3788 QUAIL RUN",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481059535",
"telephone_number": "734-712-7472",
"fax_number": "734-712-5697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5333 MCAULEY DR RM 4106",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481971001",
"telephone_number": "734-712-7472",
"fax_number": "734-712-5697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISTOR",
"first_name": "DIANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301051243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ypsilanti, MI
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.