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

Kate Diasamidze

Individual provider Clinical Neuropsychologist · NPI 1568932242

Kate Diasamidze is a Clinical Psychologist in Costa Mesa, California. Qualified in 2023, 3 years ago. Practices with Julia Evans PHD Psychology PC, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2018

Practice location Address checks out

940 S Coast Dr Ste 225
Costa Mesa, CA 92626-7757
Phone: (949) 743-1457
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 36132 (CA)

Record details

NPI number1568932242
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 26, 2018
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Julia Evans Phd Psychology Pc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Costa Mesa