DR. DIANE D. KAWAGOE PH.D.
NPI 1104985597
Psychologist in Fresno, CA

Active since December 08, 2006PECOS Enrolled
4785 N 1ST ST, FRESNO, CA 93726(559) 448-4766 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Diane D. Kawagoe Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DIANE D. KAWAGOE PH.D. (NPI 1104985597) is an individual psychologist in Fresno, California, licensed in California (PSY14456) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104985597
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. DIANE D. KAWAGOECredential: PH.D.
Location Address4785 N 1ST STFresno, CA 93726-0513
Mailing Address4785 N 1st StFresno, CA 93726-0513 · (559) 448-4766
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateJanuary 3, 2022
NPI 1104985597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY14456
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4785 N 1ST ST, Fresno, CA 93726

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Diane D. Kawagoe Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
4785 N 1ST ST
FRESNO, CA 93726
Pediatrics
4785 N 1ST ST
FRESNO, CA 93726
Marriage & Family Therapist
4785 N 1ST ST
FRESNO, CA 93726
Social Worker (Clinical)
4785 N 1ST ST
FRESNO, CA 93726
Marriage & Family Therapist
4785 N 1ST ST
FRESNO, CA 93726
Pharmacist
4785 N 1ST ST
FRESNO, CA 93726
Marriage & Family Therapist
4785 N 1ST ST
FRESNO, CA 93726
Clinical Nurse Specialist (Psychiatric/Mental Health)
4785 N 1ST ST
FRESNO, CA 93726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Diane Kawagoe's NPI number?

The NPI number for Diane Kawagoe is 1104985597. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Diane Kawagoe located?

Diane Kawagoe practices at 4785 N 1st St, Fresno, CA 93726. The listed phone number is (559) 448-4766.

What is Diane Kawagoe's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Diane Kawagoe enrolled in Medicare?

Yes. Diane Kawagoe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Diane Kawagoe was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.