DR. SUSAN MIQUELA DIAZ (NPI# 1346354891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346354891 |
| Entity Type | Individual |
| Full Name | DR. SUSAN MIQUELA DIAZ |
| Credential | PH. D. |
| Practice Address |
1676 Sunset Ave Fl 1 Utica NY 13502 |
| Mailing Address |
Po Box 1277 Cooperstown NY 13326-6277 |
| Practice Telephone | 3153600527 |
| Mailing Telephone | 3153600527 |
| Mailing Fax Number | 3158018391 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
016342 | NY | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 016342-1 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 103 Main St Fl 3, Cooperstown, NY 133261224 | 3153600527 | |
| 1656 Champlin Ave, Utica, NY 135024830 | 3158013282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982713210 | Susan M Diaz | Pediatrics | Presbyterian Hospital 1100 Central Ave Se, Pmg Pediatric Intensivists, Albuquerque, NM 87106 | 2006-08-30 |
| 1962650754 | Susan Diaz | Nurse Practitioner | 400 Parnassus Ave, San Francisco, CA 94143-0136 | 2008-09-04 |
| Street Address |
1676 SUNSET AVE FL 1 |
| City | UTICA |
| State | NY |
| Zip Code | 13502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730609207 | Brittany Elizabeth Husnay | Nurse Practitioner | 1676 Sunset Ave Fl 1, Utica, NY 13502-5416 | 2017-06-26 |
| 1427408871 | Ashley Ross | Nurse Practitioner | 1676 Sunset Ave Fl 1, Utica, NY 13502-5416 | 2016-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750922266 | Ross Alan Beckley | Psychologist | 8344 Hall Rd Ste 209, Utica, MI 48317-5554 | 2019-10-06 |
| 1144886201 | Sphere Psychological Services | Psychologist | 2520 Genesee St Fl 2, Utica, NY 13502-5814 | 2019-05-14 |
| 1578937314 | Loomis Psychology, Pllc | Psychologist | 288 Genesee St, Utica, NY 13502-4620 | 2015-11-17 |
| 1386893964 | Raymond A. Bepko | Psychologist | 26 Beverly Pl, Utica, NY 13501-6122 | 2008-09-18 |
| 1952432098 | Carol A. Johns | Psychologist | 11111 Hall Rd Ste 201, Utica, MI 48317-5799 | 2007-03-08 |
| 1689773400 | Frances Rose Brown | Psychologist | 11111 Hall Rd Ste 303, Utica, MI 48317-5726 | 2006-09-21 |
| 1215951496 | James Gall | Psychologist | 11111 Hall Rd Ste 105, Utica, MI 48317 | 2006-07-27 |
| 1346232998 | Lawrence T. Wentworth | Psychologist | 11111 Hall Rd, Suite 303, Utica, MI 48317-5711 | 2005-08-19 |
| 1467095018 | Megan Glenn Brown | Psychologist | 122 Business Park Dr Ste 1, Utica, NY 13502-6321 | 2019-10-25 |
| 1922570092 | Empower Psychological Services, Pllc | Psychologist | 45200 Sterritt St Ste 105, Utica, MI 48317-5844 | 2018-12-29 |
| Find all providers in UTICA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.