Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeffrey C. Diebold

Individual provider Clinical Psychologist · NPI 1538284781

Dr. Jeffrey C. Diebold is a Clinical Psychologist in Long Beach, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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Practice location Address checks out

143 E Park Ave Second Fl
Long Beach, NY 11561-3548
Phone: (718) 309-7782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 016440 (NY)

Record details

NPI number1538284781
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 20, 2007
Last updated in NPPESApril 21, 2009
Mailing address6625 103rd St, Apt 5p, Forest Hills, NY 11375-2046

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