DR. DIANE MARIE AGRESTA PSY.D
NPI 1114973310
Psychologist - Clinical in Ann Arbor, MI
About Dr. Diane Marie Agresta Psy.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DIANE MARIE AGRESTA PSY.D (NPI 1114973310) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6301002761) and active in the NPI registry since May 2006. She has opted out of Medicare through December 6, 2026 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 7
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Diane Marie Agresta Psy.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 6, 2010 through December 6, 2026.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANN ARBOR, MI 48104
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 Agresta's NPI number?
The NPI number for Diane Agresta is 1114973310. It was assigned to this individual provider in the NPPES registry on May 26, 2006.
Where is Diane Agresta located?
Diane Agresta practices at 321 S Main St Suite 209, Ann Arbor, MI 48104. The listed phone number is (734) 665-9890.
What is Diane Agresta's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Diane Agresta enrolled in Medicare?
No. Diane Agresta has opted out of Medicare through December 6, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Diane Agresta was last updated on June 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Dr. Diane Marie Agresta, PSY.D · NPI 1114973310
Clinical provider in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1114973310 (Entity type: Individual)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 6301002761 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 321 S MAIN ST, SUITE 209, Ann Arbor, MI 48104-2117
- **Phone:** (734) 665-9890
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through December 6, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** June 10, 2009
- **Other identifiers:** Other 620H14705 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1114973310) · Data from the CMS NPPES public registry.