DR. DIANE J COHEN CARLSON PHD
NPI 1871575308
Psychologist in Oakland, CA

Active since November 18, 2005Opted out of Medicare · through Nov 11, 2026
5625 COLLEGE AVE STE 210C, OAKLAND, CA 94618(510) 653-1464(510) 547-0174 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Diane J Cohen Carlson Phd NPPES

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

DR. DIANE J COHEN CARLSON PHD (NPI 1871575308) is an individual psychologist in Oakland, California, licensed in California (PSY13662) and active in the NPI registry since November 2005. She has opted out of Medicare through November 11, 2026.

NPPES Registry Identity

NPI1871575308
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. DIANE J COHEN CARLSONCredential: PHD
Location Address5625 COLLEGE AVE STE 210COakland, CA 94618-1677
Mailing Address5625 College Ave Ste 210cOakland, CA 94618-1677 · (510) 653-1464 · Fax (510) 547-0174
Fax(510) 547-0174
Sole ProprietorYes
Enumeration DateNovember 18, 2005
Last NPPES UpdateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
NPI 1871575308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY13662
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY13662 (CA)
5625 COLLEGE AVE STE 210C, Oakland, CA 94618

Other Names 1

Former Name (1)Dr. Diane Cohen

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. Diane J Cohen Carlson 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 November 11, 2024 through November 11, 2026.

Opt-Out Effective DateNovember 11, 2024
Opt-Out In Effect ThroughNovember 11, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
5625 COLLEGE AVE STE 210C
OAKLAND, CA 94618

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 Cohen Carlson's NPI number?

The NPI number for Diane Cohen Carlson is 1871575308. It was assigned to this individual provider in the NPPES registry on November 18, 2005. The provider is also known as Dr. Diane Cohen.

Where is Diane Cohen Carlson located?

Diane Cohen Carlson practices at 5625 College Ave Ste 210C, Oakland, CA 94618. The listed phone number is (510) 653-1464.

What is Diane Cohen Carlson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Diane Cohen Carlson enrolled in Medicare?

No. Diane Cohen Carlson has opted out of Medicare through November 11, 2026. 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 Cohen Carlson was last updated on December 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.