MADALYNNE DIAZ (NPI# 1093340713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093340713 |
| Entity Type | Individual |
| Full Name | MADALYNNE DIAZ |
| Practice Address |
9470 Micron Ave Sacramento CA 95827-2612 |
| Practice Telephone | 9163379842 |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
9470 MICRON AVE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790029700 | Jessi Nicole Corral | Behavior Technician | 9470 Micron Ave, Sacramento, CA 95827-2612 | 2012-11-15 |
| 1558977850 | Ashton Grace Boyd | Behavior Technician | 9470 Micron Ave, Sacramento, CA 95827-2612 | 2020-09-22 |
| 1720690977 | Emilee Reese Durbin | Behavior Technician | 9470 Micron Ave, Sacramento, CA 95827-2612 | 2020-08-19 |
| 1992317150 | Ryanne Brust | Behavior Technician | 9470 Micron Ave, Sacramento, CA 95827-2612 | 2020-08-19 |
| 1053949347 | Zachary Alexander Balantac | Behavior Technician | 9470 Micron Ave, Sacramento, CA 95827-2612 | 2020-03-31 |
| 1689217465 | Katarina Miller | Assistant Behavior Analyst | 9470 Micron Ave, Sacramento, CA 95827-2612 | 2019-10-23 |
| 1760953210 | Emanuela Zappala | Behavior Technician | 9470 Micron Ave, Sacramento, CA 95827-2612 | 2018-12-10 |
| 1306330485 | Ashlee D Cato | Behavior Technician | 9470 Micron Ave, Sacramento, CA 95827-2612 | 2018-06-21 |
| 1831609544 | Michelle Der | Behavior Technician | 9470 Micron Ave, Sacramento, CA 95827-2612 | 2017-10-08 |
| 1417476094 | Susana S Razumovsky | Behavior Technician | 9470 Micron Ave, Sacramento, CA 95827-2612 | 2017-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356716039 | Nicole Hisaka | Psychologist | 3651 Business Dr, Sacramento, CA 95820 | 2015-12-07 |
| 1063587418 | Aubrey Elizabeth Joy | Psychologist | 1441 37th St, Sacramento, CA 95816-6701 | 2006-11-21 |
| 1093239089 | Megan E Tudor | Psychologist | 2825 50th St, Uc Davis Mind Institute, Sacramento, CA 95817 | 2017-08-01 |
| 1285013177 | Jennifer Bob | Psychologist | 3331 Power Inn Rd Ste 140, Sacramento, CA 95826-3889 | 2015-05-25 |
| 1649697350 | Benjamin Smith Jr. | Psychologist | 4343 Williamsbourgh Dr, Sacramento, CA 95823-2006 | 2014-03-20 |
| 1992140602 | Richelle Long | Psychologist | 3331 Power Inn Rd Ste 140, Sacramento, CA 95826-3889 | 2013-05-08 |
| 1831403195 | Carlina Ramirez Wheeler | Psychologist | 3555 Auburn Blvd, Sacramento, CA 95821-2005 | 2010-07-28 |
| 1447423959 | Regents of The Univ of Ca | Psychologist | 2825 50th St, Sacramento, CA 95817-2308 | 2008-04-04 |
| 1790844603 | Kenneth Henneth Patton | Psychologist | 2345 Fair Oaks Blvd, Kaiser Child Psychiatry Department, Sacramento, CA 95825-4708 | 2006-12-06 |
| 1063438687 | Tanya Lynn Holland | Psychologist | 3671 Business Dr, Sacramento, CA 95820-2165 | 2006-07-15 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95827 |
Please comment or provide details below to improve the information on MADALYNNE DIAZ.
| 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.