National Provider Identifier Database

DIANA HEARST IKEDA, PhD – NPI #1124146717
Cognitive & Behavioral

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.


Contact Information

DIANA HEARST IKEDA, PhD
20 TREMONT ST
SUITE 12 A
DUXBURY, MA02332-5310
Phone: 781-934-6390
Fax: 781-934-9991
Website:
Specialty Taxonomy Code
* Cognitive & Behavioral 103TB0200X
Addiction (Substance Use Disorder) 101YA0400X
Addiction (Substance Use Disorder) 103TA0400X
Adult Development & Aging 103TA0700X
Clinical 103TC0700X
Clinical Child & Adolescent 103TC2200X
Counseling 103TC1900X
Family 103TF0000X
Mental Health 101YM0800X
Psychologist 103T00000X

* Indicates primary specialty

NPI Profile & details for DIANA HEARST IKEDA

NPI Number 1124146717
Credentials PhD
Entity Individual
Enumeration date 03/26/2007
Last updated 12/13/2013 - About 12 years ago
Sole proprietor1 Yes
Identifiers
  • MA License #: 6917
  • MA Medicaid: W05211
  • MA Other: W05611 BLUE CROSS BLUE SHIELD
  • MA Other: 407109 TUFTS BEHAVIORAL HEALTH
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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