JOSE LUIS DIAZ CASAC NPI 1942322177

NPI Information

NPI: 1942322177
Provider Name: JOSE LUIS DIAZ, CASAC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
8 E 3RD ST
NEW YORK, NY
ZIP 10003
Phone: (212) 533-8400
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Jose Luis Diaz, CASAC is a counselor in New York, NY. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Jose Luis Diaz, CASAC NPI is 1942322177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8 E 3RD ST
NEW YORK, NY
ZIP 10003-908
Phone: (212) 533-8400

The enumeration date for this NPI number is 4/6/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		18642	NEW YORK	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	18642	NEW YORK	X
3	101YM0800X	Counselor	Mental Health	18642	NEW YORK	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	18642	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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