Healthcare Provider Details

I. General information

NPI: 1982753349
Provider Name (Legal Business Name): DIAMENT PSYCH ASSOCIATES QTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 NEWMAN SPRINGS RD STE 143
RED BANK NJ
07701-6767
US

IV. Provider business mailing address

331 NEWMAN SPRINGS RD STE 143
RED BANK NJ
07701-6767
US

V. Phone/Fax

Practice location:
  • Phone: 732-695-1809
  • Fax:
Mailing address:
  • Phone: 732-695-1809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID MITCHELL DIAMENT
Title or Position: LICENSED PSYCHOLOGIST
Credential: PH.D.
Phone: 732-695-1809