Active NPI
Ziona Brotleit, MCAT, LICENSED PSYCH
- Clinical Psychologist
- Bethlehem, PA
National Provider Identifier
1003011081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS007361L
- Practice address
- 3005 Brodhead Rd
Suite 104
Bethlehem, PA 18020-9201 - Phone
- (610) 866-4661
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS007361L | PA | Primary |
Addresses
Primary practice location
3005 Brodhead Rd
Suite 104
Bethlehem, PA 18020-9201
Mailing address
408 2ND Ave
Bethlehem, PA 18018-5617
Phone (610) 867-2881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240126001796 | PA | Practitioner - Psychologist Billing Independently | 8921451899 | Practice locations: Bethlehem, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
412 2ND Ave
Bethlehem, PA 18018-5617
Phone (610) 867-2881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS007361L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003011081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 2ND AVE",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180185617",
"telephone_number": "610-867-2881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 BRODHEAD RD",
"address_2": "SUITE 104",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180209201",
"telephone_number": "610-866-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROTLEIT",
"first_name": "ZIONA",
"name_prefix": "Ms.",
"credential": "MCAT, LICENSED PSYCH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS007361L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.