DIANE JOHNSON PROSSER, PHD., LLC
NPI 1508213844
Psychologist - Clinical in South Bend, IN

Q: What is Diane Johnson Prosser, Phd., LLC's NPI number?

The NPI number for Diane Johnson Prosser, Phd., LLC is 1508213844. It was assigned to this organization in the NPPES registry on May 17, 2016.

Q: What is Diane Johnson Prosser, Phd., LLC's specialty?

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

Active since May 17, 2016

227 N DIXIE WAY, SUITE 110, SOUTH BEND, IN 46637(574) 850-8486(574) 966-1580 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Diane Johnson Prosser, Phd., Llc NPPES

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

DIANE JOHNSON PROSSER, PHD., LLC (NPI 1508213844) is a healthcare organization registered as a clinical in South Bend, Indiana and active in the NPI registry since May 2016. The organization lists Diane Johnson Prosser, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1508213844

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameDIANE JOHNSON PROSSER, PHD., LLC

Location Address227 N DIXIE WAY, SUITE 110South Bend, IN 46637-3385

Mailing Address227 N Dixie Way, Suite 110South Bend, IN 46637-3385 · (574) 850-8486 · Fax (574) 966-1580

Phone(574) 850-8486

Fax(574) 966-1580

Organization SubpartNo

Authorized OfficialDiane Johnson ProsserSole Proprietor · (574) 850-8486

Enumeration DateMay 17, 2016

✔ NPI 1508213844 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 IN · 20040993

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.

227 N DIXIE WAY, South Bend, IN 46637

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Other Identifiers 2

Medicaid200122760AIN

Medicare UPINS29118IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

SUSAN ELIZABETH MERRY MA, LMHC

Counselor (Mental Health)

227 N DIXIE WAY, SUITE 205
SOUTH BEND, IN 46637

St. Joseph County (574) 247-0119

BRIGETTE M GOULET MSOM

Acupuncturist

227 N DIXIE WAY, SUITE 200
SOUTH BEND, IN 46637

St. Joseph County (574) 272-7700

MS. ABBEE DALLEK SMITH LCSW

Social Worker (Clinical)

227 N DIXIE WAY
SOUTH BEND, IN 46637

St. Joseph County (574) 234-3515

HEIDI WRINGER , LCSW

Social Worker (Clinical)

227 N DIXIE WAY, STE 130
SOUTH BEND, IN 46637

St. Joseph County (574) 952-3651

MARY ROBIN WOOD PH.D., L.M.H.C.

Counselor (Mental Health)

227 N DIXIE WAY, STE 335
SOUTH BEND, IN 46637

St. Joseph County (574) 220-1298

LEE L LINDSEY H.A.D.

Hearing Instrument Specialist

227 N DIXIE WAY, SUITE 110
SOUTH BEND, IN 46637

St. Joseph County (574) 968-4880

INTRIGUE COUNSELING, INC

Social Worker (Clinical)

227 N DIXIE WAY, SUITE 210
SOUTH BEND, IN 46637

St. Joseph County (574) 234-3515

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 Johnson Prosser, Phd., LLC's NPI number?

The NPI number for Diane Johnson Prosser, Phd., LLC is 1508213844. It was assigned to this organization in the NPPES registry on May 17, 2016.

Where is Diane Johnson Prosser, Phd., LLC located?

Diane Johnson Prosser, Phd., LLC is located at 227 N Dixie Way Suite 110, South Bend, IN 46637. The listed phone number is (574) 850-8486.

What is Diane Johnson Prosser, Phd., LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Diane Johnson Prosser, Phd., LLC was last updated on May 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.