DR. DIANA MEDINA PH.D. - NPI 1760886121 - Psychologist in Scottsdale, AZ

Q: What is Diana Medina's NPI number?

The NPI number for Diana Medina is 1760886121. It was assigned to this individual provider in the NPPES registry on October 14, 2014. The provider is also known as Diana Milner Ph.D..

Q: What is Diana Medina's specialty?

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

Q: Is Diana Medina enrolled in Medicare?

No. Diana Medina 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.

Q: When was this NPI record last updated?

The NPPES record for Diana Medina was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

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About Dr. Diana Medina Ph.d. NPPES

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

DR. DIANA MEDINA PH.D. (NPI 1760886121) is an individual clinical provider in Scottsdale, Arizona, licensed in Arizona (PSY-004607) and active in the NPI registry since October 2014. She has opted out of Medicare through April 1, 2028 and maintains a secondary practice location in Scottsdale.

NPPES Registry Identity

NPI1760886121

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DIANA MEDINACredential: PH.D.

Location Address16220 N SCOTTSDALE RD STE 300Scottsdale, AZ 85254-1798

Mailing AddressPo Box 50384Phoenix, AZ 85076-0384 · (602) 796-7081

Phone(480) 328-8464

Sole ProprietorYes

Enumeration DateOctober 14, 2014

Last NPPES UpdateOctober 14, 2024

NPPES CertifiedOctober 14, 2024

✔ NPI 1760886121 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 AZ · PSY-004607

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 ListedPsychologist · CounselingTaxonomy 103TC1900X

16220 N SCOTTSDALE RD STE 300, Scottsdale, AZ 85254

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Other Names 1

Former Name (1)Diana Milner Ph.d.

Secondary Practice Location 1

Location 118291 N Pima Rd Ste 110Scottsdale, AZ 85255-5698 · Phone (602) 796-7081

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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 Medina 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 April 1, 2020 through April 1, 2028.

Opt-Out Effective DateApril 1, 2020

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

CLOUD 9 PSYCHIATRY, LLC

Nurse Practitioner (Psychiatric/Mental Health)