DR. DIANA RO PSYD
NPI 1144657800
Psychologist - Clinical in Traverse City, MI

Q: What is Diana Ro's NPI number?

The NPI number for Diana Ro is 1144657800. It was assigned to this individual provider in the NPPES registry on September 26, 2013.

Q: What is Diana Ro's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Diana Ro enrolled in Medicare?

No. Diana Ro has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Diana Ro was last updated on July 11, 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.

Active since September 26, 2013Opted out of Medicare · through Oct 1, 2026

4020 COPPER VW STE 104F, TRAVERSE CITY, MI 49684(231) 947-2255 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2022, Jan 19, 2021, Oct 24, 2016 (3 updates tracked since 2016).

On this page

About Dr. Diana Ro Psyd NPPES

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

DR. DIANA RO PSYD (NPI 1144657800) is an individual clinical provider in Traverse City, Michigan, licensed in Michigan (6301015909) and active in the NPI registry since September 2013. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1144657800

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DIANA ROCredential: PSYD

Location Address4020 COPPER VW STE 104FTraverse City, MI 49684-7041

Mailing Address4020 Copper Vw Ste 104fTraverse City, MI 49684-7041 · (231) 947-2255

Phone(231) 947-2255

Sole ProprietorNo

Enumeration DateSeptember 26, 2013

Last NPPES UpdateJuly 11, 20223 updates tracked since enumeration

NPPES CertifiedJuly 11, 2022

✔ NPI 1144657800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301015909

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4020 COPPER VW STE 104F, Traverse City, MI 49684

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

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. Diana Ro Psyd 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 October 1, 2022 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2022

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

NORTHERN EMBERS MENTAL HEALTH LLC.

Clinic/Center (Mental Health (Including Community Mental Health Center))

4020 COPPER VW STE 104F
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 714-4442

RESILIENT MENTAL HEALTH

Psychologist (Clinical)

4020 COPPER VW STE 104F
TRAVERSE CITY, MI 49684

Grand Traverse County (231) 714-4086

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 Diana Ro's NPI number?

The NPI number for Diana Ro is 1144657800. It was assigned to this individual provider in the NPPES registry on September 26, 2013.

Where is Diana Ro located?

Diana Ro practices at 4020 Copper Vw Ste 104F, Traverse City, MI 49684. The listed phone number is (231) 947-2255.

What is Diana Ro's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Diana Ro enrolled in Medicare?

No. Diana Ro has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Diana Ro accept?

Health plans from Priority Health list Diana Ro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Diana Ro was last updated on July 11, 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.