KATE DIASAMIDZE PSYD PSYCHOLOGY PC
NPI 1124985155
Clinic/Center - Mental Health (Including Community Mental Health Center) in Sherman Oaks, CA
About Kate Diasamidze Psyd Psychology Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATE DIASAMIDZE PSYD PSYCHOLOGY PC (NPI 1124985155) is a healthcare organization registered as a mental health (including community mental health center) in Sherman Oaks, California and active in the NPI registry since January 2026. The organization lists Kate Diasamidze, Clinical Neuropsychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kate Diasamidze Psyd Psychology Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kate Diasamidze Psyd Psychology PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kate Diasamidze Psyd Psychology PC's NPI number?
The NPI number for Kate Diasamidze Psyd Psychology PC is 1124985155. It was assigned to this organization in the NPPES registry on January 9, 2026.
Where is Kate Diasamidze Psyd Psychology PC located?
Kate Diasamidze Psyd Psychology PC is located at 15260 Ventura Blvd Ste 1200, Sherman Oaks, CA 91403. The listed phone number is (310) 717-3191.
What is Kate Diasamidze Psyd Psychology PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Kate Diasamidze Psyd Psychology PC enrolled in Medicare?
Yes. Kate Diasamidze Psyd Psychology PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kate Diasamidze Psyd Psychology PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Kate Diasamidze Psyd Psychology PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kate Diasamidze Psyd Psychology PC was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Kate Diasamidze Psyd Psychology Pc · NPI 1124985155
Mental Health (Including Community Mental Health Center) organization in Sherman Oaks, California. Organization record, active in the CMS NPPES registry since January 9, 2026.
## Identity
- **NPI:** 1124985155 (Entity type: Organization)
- **Enumerated:** January 9, 2026
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Kate Diasamidze, CLINICAL NEUROPSYCHOLOGIST
## Practice location
- **Address:** 15260 VENTURA BLVD STE 1200, Sherman Oaks, CA 91403-5347
- **Phone:** (310) 717-3191
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124985155) · Data from the CMS NPPES public registry.