Active NPIIndividual providerSole proprietor

Dr. Diana Hearst Ikeda, PHD

Psychologist, Cognitive & Behavioral in Duxbury, Massachusetts

NPI Number1124146717
Practice location
20 Tremont St, Suite 12 A, Duxbury, MA 02332-5310
Fax
781-934-9991
Last updated
December 13, 2013

Diana Hearst Ikeda is a Psychologist, Cognitive & Behavioral based in Duxbury, MA. Diana Hearst Ikeda practices in Duxbury, MA and has the professional credentials of PHD. The NPI Number for Diana Hearst Ikeda is 1124146717 and holds a License No. 6917 (MA). The current practice location address for Diana Hearst Ikeda is 20 Tremont St, Suite 12 A, Duxbury, MA 02332-5310 and can be reached out via phone at 781-934-6390 and via fax at 781-934-9991.

Provider Profile Details

NPI Number
1124146717
Provider Name
Diana Hearst Ikeda
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
20 Tremont St, Suite 12 A, Duxbury, MA 02332-5310
Phone Number
781-934-6390
Fax Number
781-934-9991
Primary Taxonomy
Psychologist, Cognitive & Behavioral · 103TB0200X
Sole Proprietor
Yes
Provider Enumeration Date
March 26, 2007
Last Update Date
December 13, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Tremont St
Suite 12 A
Duxbury, MA 02332-5310
Zip
02332-5310
Phone Number
781-934-6390
Fax Number
781-934-9991
Duxbury, MA 02332Get directions →

Provider Business Mailing Address Details

Address
Po Box 2628
Duxbury, MA 02331-2628
City
Duxbury
State
MA
Zip
02331-2628
Phone Number
781-934-6390
Fax Number
781-934-9991

License Information

License Number (1)
6917
License State (1)
MA
License Number (2)
6917
License State (2)
MA
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
License Number (3)
6917
License State (3)
MA
Taxonomy (3)
Psychologist · 103T00000X
License Number (4)
6917
License State (4)
MA
License Number (5)
6917
License State (5)
MA
Taxonomy (5)
Psychologist, Adult Development & Aging · 103TA0700X
License Number (6)
6917
License State (6)
MA
Taxonomy (6)
Psychologist, Cognitive & Behavioral · 103TB0200X · Primary
License Number (7)
6917
License State (7)
MA
Taxonomy (7)
Psychologist, Clinical · 103TC0700X
License Number (8)
6917
License State (8)
MA
Taxonomy (8)
Psychologist, Counseling · 103TC1900X
License Number (9)
6917
License State (9)
MA
License Number (10)
6917
License State (10)
MA
Taxonomy (10)
Psychologist, Family · 103TF0000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Diana Hearst Ikeda, PHD?

The NPI number of Dr. Diana Hearst Ikeda, PHD is 1124146717. It was assigned on March 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Diana Hearst Ikeda, PHD?

Dr. Diana Hearst Ikeda, PHD is registered under the primary taxonomy Psychologist, Cognitive & Behavioral (code 103TB0200X), licensed in MA under license number 6917.

Where does Dr. Diana Hearst Ikeda, PHD practice?

The practice location is 20 Tremont St, Suite 12 A, Duxbury, MA 02332-5310. The office can be reached at 781-934-6390 (phone) or 781-934-9991 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124146717 directly on the NPPES registry website.

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