NICOLE DIAZ
NPI 1235823436
Counselor - Mental Health in Bronx, NY

Q: What is Nicole Diaz's NPI number?

The NPI number for Nicole Diaz is 1235823436. It was assigned to this individual provider in the NPPES registry on June 8, 2023.

Q: What is Nicole Diaz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Diaz was last updated on July 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 08, 2023PECOS Enrolled

579 COURTLANDT AVE, BRONX, NY 10451(718) 485-2100 Get Directions Write a Review

NPPES record last updated: July 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2023, Jun 8, 2023 (2 updates tracked since 2023).

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About Nicole Diaz NPPES

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

NICOLE DIAZ (NPI 1235823436) is an individual mental health provider in Bronx, New York and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1235823436

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameNICOLE DIAZ

Location Address579 COURTLANDT AVEBronx, NY 10451-5013

Mailing Address1730 Victor St, Apt 36Bronx, NY 10462-3528 · (914) 648-5438

Phone(718) 485-2100

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJune 8, 2023

Last NPPES UpdateJuly 9, 20232 updates tracked since enumeration

NPPES CertifiedJuly 9, 2023

✔ NPI 1235823436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

579 COURTLANDT AVE, Bronx, NY 10451

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Diaz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406375427

PECOS Enrollment IDI20250522002118

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.

ILIANA PAOLA MEDINA

Social Worker