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MRS. DIANA MARIA CLARK
NPI 1891986741
Marriage & Family Therapist in Tustin, CA

Active since August 06, 2007Opted out of Medicare · through Jan 1, 2028
18002 IRVINE BLVD STE 202F, TUSTIN, CA 92780(657) 205-6611 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2024, Aug 19, 2022 (2 updates tracked since 2022).

About Mrs. Diana Maria Clark NPPES

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

MRS. DIANA MARIA CLARK (NPI 1891986741) is an individual marriage & family therapist in Tustin, California, licensed in California (81829) and active in the NPI registry since August 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1891986741
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. DIANA MARIA CLARK
Location Address18002 IRVINE BLVD STE 202FTustin, CA 92780-3322
Mailing Address18002 Irvine Blvd Ste 202fTustin, CA 92780-3322 · (714) 331-8477
Phone(657) 205-6611
Sole ProprietorYes
Enumeration DateAugust 6, 2007
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1891986741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 81829
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
18002 IRVINE BLVD STE 202F, Tustin, CA 92780
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Other Names 1

Former Name (1)Mrs. Diana Maria Macedo Lmft M.s

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Diana Maria Clark 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Diana Clark's NPI number?

The NPI number for Diana Clark is 1891986741. It was assigned to this individual provider in the NPPES registry on August 6, 2007. The provider is also known as Mrs. Diana Maria Macedo Lmft M.S.

Where is Diana Clark located?

Diana Clark practices at 18002 Irvine Blvd Ste 202F, Tustin, CA 92780. The listed phone number is (657) 205-6611.

What is Diana Clark's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Diana Clark enrolled in Medicare?

No. Diana Clark has opted out of Medicare through January 1, 2028. 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 Diana Clark was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.