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DIANE CAROL GOTTFRIED PH.D.
NPI 1710067426
Psychologist - Clinical in Brooklyn, NY

Active since October 17, 2006Opted out of Medicare · through Jun 4, 2027
760 BROADWAY, ROOM 2B-151, BROOKLYN, NY 11206(718) 486-2788(718) 630-3250 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 Carol Gottfried Ph.d. NPPES

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

DIANE CAROL GOTTFRIED PH.D. (NPI 1710067426) is an individual clinical provider in Brooklyn, New York, licensed in New York (016835-1) and active in the NPI registry since October 2006. She has opted out of Medicare through June 4, 2027.

NPPES Registry Identity

NPI1710067426
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDIANE CAROL GOTTFRIEDCredential: PH.D.
Location Address760 BROADWAY, ROOM 2B-151Brooklyn, NY 11206-5317
Mailing Address238 Powers St, Apt. 1fBrooklyn, NY 11211-5027 · (718) 599-3051
Phone(718) 486-2788
Fax(718) 630-3250
Sole ProprietorYes
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710067426 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 NY · 016835-1
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.
760 BROADWAY, Brooklyn, NY 11206
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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 Carol Gottfried Ph.d. 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 June 4, 2025 through June 4, 2027.

Opt-Out Effective DateJune 4, 2025
Opt-Out In Effect ThroughJune 4, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

MIRIAM Y LITVINTCHOUK PA
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHAZA MOHAMMED ELHASSAN
Personal Emergency Response Attendant
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8430
MS. ABENA BANFUL
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHUJA AHMED SHAIK M.D.
Student in an Organized Health Care Education/Training Program
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8779
DR. GERALDINE ORENDAIN M.D.
Psychiatry & Neurology (Psychiatry)
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Kings County (718) 963-5793
MR. GUY KELLY P.A.
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
MRS. VIRGINIA J PRYCE N.P.
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
DR. ROGER GRANNUM DDS
Dentist (Oral and Maxillofacial Surgery)
760 BROADWAY, ORAL SURGERY ROOM 2C320
BROOKLYN, NY 11206
Kings County (718) 963-8000

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 Gottfried's NPI number?

The NPI number for Diane Gottfried is 1710067426. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Diane Gottfried located?

Diane Gottfried practices at 760 Broadway Room 2b-151, Brooklyn, NY 11206. The listed phone number is (718) 486-2788.

What is Diane Gottfried's specialty?

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

Is Diane Gottfried enrolled in Medicare?

No. Diane Gottfried has opted out of Medicare through June 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Diane Gottfried 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.