Provider Demographics
NPI:1285641894
Name:DIAMANT, AMY B (MSSA)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:B
Last Name:DIAMANT
Suffix:
Gender:F
Credentials:MSSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24400 HIGHPOINT RD
Mailing Address - Street 2:STE # 6
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122
Mailing Address - Country:US
Mailing Address - Phone:216-831-6550
Mailing Address - Fax:216-831-6833
Practice Address - Street 1:24400 HIGHPOINT RD
Practice Address - Street 2:STE # 6 COMPREHENSIVE PSYCHIATRIC SERVICES
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122
Practice Address - Country:US
Practice Address - Phone:216-831-6550
Practice Address - Fax:216-831-6133
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-00008541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH033588000OtherMAGELLAN
OH343179OtherVALUE OPTIONS FACILITY #
OH033588000OtherMAGELLAN