Provider Demographics
NPI:1780732206
Name:ADAMS, DIANA O'KEEFE (EDD)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:O'KEEFE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 HAMILTON AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2010
Mailing Address - Country:US
Mailing Address - Phone:650-327-7117
Mailing Address - Fax:650-327-0984
Practice Address - Street 1:550 HAMILTON AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2010
Practice Address - Country:US
Practice Address - Phone:650-327-7117
Practice Address - Fax:650-327-0984
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY11352103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOPL113520Medicare UPIN