MAYRA DIAZ (NPI# 1992320485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992320485 |
| Entity Type | Individual |
| Full Name | MAYRA DIAZ |
| Practice Address |
1414 Main St Melrose Park IL 60160-3902 |
| Mailing Address |
3539 W Le Moyne St Chicago IL 60651-2210 |
| Practice Telephone | 7087868510 |
| Mailing Telephone | 3129122645 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679110019 | Mayra Diaz | Dietitian, Registered | 19141 Stone Oak Pkwy Ste 603, San Antonio, TX 78258-3375 | 2019-12-04 |
| 1740427426 | Mayra L Diaz | Rehabilitation Practitioner | 7201 Lennox Ave, #221, Van Nuys, CA 91405-2336 | 2009-01-16 |
| 1891308151 | Mayra Diaz | Student in an Organized Health Care Education/Training Program | 2310 W Roosevelt Rd, Chicago, IL 60608-1131 | 2020-08-26 |
| 1184000390 | Mayra Leonor Diaz | Marriage & Family Therapist | 16055 Ventura Blvd Ste 715, Encino, CA 91436-2610 | 2015-08-11 |
| 1477955342 | Mayra C. Diaz | General Practice | 10120 Sw 81st St, Miami, FL 33173-4006 | 2014-09-22 |
| Street Address |
1414 MAIN ST |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997193 | Anjali Dinesh Nair | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-09-21 |
| 1821603671 | Kehinde O Oyinloye | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-09-09 |
| 1093320814 | Shaquita Ramey | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-09-09 |
| 1821602723 | Yenisis Delossantos | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-09-08 |
| 1548871379 | Evelyn Darlene Simmons | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-08-14 |
| 1730707050 | Dianne E Lozano | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-07-13 |
| 1346867744 | Luz Luna | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-07-01 |
| 1396362166 | Felix Gatica | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-06-28 |
| 1982243283 | Asmat Khan | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-01-03 |
| 1689218323 | Demi Bandolik | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2019-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| Find all providers in zip 60160 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437553013 | Sarah Grebasch | Social Worker | 1111 Superior St, Melrose Park, IL 60160-4138 | 2014-10-10 |
| 1134563554 | Jessica Batsheva Covitz | Social Worker | 24 Latham Park, Melrose Park, PA 19027-3148 | 2013-04-29 |
| 1912263088 | Laura A Eichstaedt | Social Worker | 1414 Main St, Melrose Park, IL 60160-3902 | 2012-04-03 |
| 1184996381 | Lisa K Hendrickson | Social Worker | 1414 Main St, Melrose Park, IL 60160-3902 | 2012-02-02 |
| 1245532225 | Gloria Ibarra | Social Worker | 1414 Main St, Melrose Park, IL 60160-3902 | 2010-11-24 |
| 1629370051 | Sibil Rose Kuruvilla | Social Worker | 1414 Main St, Melrose Park, IL 60160-3902 | 2010-11-17 |
| 1114192648 | Lindsay T. Janowski | Social Worker | 1414 Main St, Melrose Park, IL 60160-3902 | 2008-04-25 |
| 1720113459 | Ellen Rebecca Dove | Social Worker | 1414 Main St, Melrose Park, IL 60160-3902 | 2007-02-22 |
| 1992840532 | Michele M Bailey | Social Worker | 1414 Main St, Melrose Park, IL 60160-3902 | 2007-02-21 |
| 1548305055 | Mark Allen Galban | Social Worker | 1414 Main St, Melrose Park, IL 60160-3902 | 2007-02-21 |
| Find all providers in MELROSE PARK | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
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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.