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DIANE LESLIE MINK PHD
NPI 1285853473
Psychologist - Clinical in Los Angeles, CA

Active since April 25, 2007Opted out of Medicare · through Apr 1, 2028
11980 SAN VINCENTE BLVD, STE 900, LOS ANGELES, CA 90049(310) 826-1085(310) 479-3450 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Diane Leslie Mink Phd NPPES

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

DIANE LESLIE MINK PHD (NPI 1285853473) is an individual clinical provider in Los Angeles, California, licensed in California (PSY123800) and active in the NPI registry since April 2007. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285853473
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDIANE LESLIE MINKCredential: PHD
Location Address11980 SAN VINCENTE BLVD, STE 900Los Angeles, CA 90049
Mailing Address11980 San Vincente Blvd, Ste 900Los Angeles, CA 90049 · (310) 826-1085 · Fax (310) 479-3450
Phone(310) 826-1085
Fax(310) 479-3450
Sole ProprietorNo
Enumeration DateApril 25, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1285853473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY123800
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.
11980 SAN VINCENTE BLVD, Los Angeles, CA 90049
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Diane Leslie Mink Phd 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 April 1, 2016 through April 1, 2028.

Opt-Out Effective DateApril 1, 2016
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90049 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

ROBERT JAMES PERKINS MD
Psychiatry & Neurology (Psychiatry)
11980 SAN VINCENTE BLVD, SUITE 820
LOS ANGELES, CA 90049
Los Angeles County (310) 207-3318

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 Mink's NPI number?

The NPI number for Diane Mink is 1285853473. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Diane Mink located?

Diane Mink practices at 11980 San Vincente Blvd Ste 900, Los Angeles, CA 90049. The listed phone number is (310) 826-1085.

What is Diane Mink's specialty?

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

Is Diane Mink enrolled in Medicare?

No. Diane Mink has opted out of Medicare through April 1, 2028. 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 Mink was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.