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DR. DIANE JOHNSON PROSSER PH.D.
NPI 1952452534
Psychologist - Clinical in South Bend, IN

Active since January 12, 2007
227 N DIXIE WAY STE 110, SOUTH BEND, IN 46637(574) 850-8486(574) 966-1585 Get Directions Write a Review

NPPES record last updated: May 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Diane Johnson Prosser Ph.d. NPPES

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

DR. DIANE JOHNSON PROSSER PH.D. (NPI 1952452534) is an individual clinical provider in South Bend, Indiana, licensed in Indiana (20040993) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1952452534
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. DIANE JOHNSON PROSSERCredential: PH.D.
Location Address227 N DIXIE WAY STE 110South Bend, IN 46637-3366
Mailing Address227 N Dixie Way Ste 110South Bend, IN 46637-3366 · (574) 850-8486 · Fax (574) 966-1585
Phone(574) 850-8486
Fax(574) 966-1585
Sole ProprietorYes
Enumeration DateJanuary 12, 2007
Last NPPES UpdateMay 16, 2016
✔ NPI 1952452534 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 STE 110, South Bend, IN 46637
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Other Names 1

Professional Name (2)Dr. Diane Johnson Prosser Ph.d.

Other Identifiers 3

Medicare UPINS29118IN
Medicaid200122760AIN
Medicare ID-Type Unspecified166600EIN

Other Providers at the Same Location NPPES 2

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

ALYSSA WORSHAM LMHC
Counselor (Mental Health)
227 N DIXIE WAY STE 110
ROSELAND, IN 46637
St. Joseph County (574) 830-0688
WORSHAM COUNSELING SERVICES LLC
Counselor (Mental Health)
227 N DIXIE WAY STE 110
ROSELAND, IN 46637
St. Joseph County (574) 830-0688

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 Prosser's NPI number?

The NPI number for Diane Prosser is 1952452534. It was assigned to this individual provider in the NPPES registry on January 12, 2007. The provider is also known as Dr. Diane Johnson Prosser Ph.D..

Where is Diane Prosser located?

Diane Prosser practices at 227 N Dixie Way Ste 110, South Bend, IN 46637. The listed phone number is (574) 850-8486.

What is Diane Prosser'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 Prosser was last updated on May 16, 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.