Individual provider Active NPI

Brittany Zelgowski, PSY.D.

  • Clinical Psychologist
  • Springfield, MA
National Provider Identifier
1003273319
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
9665 Issued in MA
Practice address
80 State St
Springfield, MA 01103-2010
Phone
(413) 748-7698
Fax
(413) 827-8231
NPI assigned
Jan 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 9665 MA Primary

Addresses

Primary practice location

80 State St
Springfield, MA 01103-2010

Mailing address

80 State St
Springfield, MA 01103-2010
Phone (413) 748-7698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9665MAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1003273319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 STATE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032010",
            "telephone_number": "413-748-7698",
            "fax_number": "413-827-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 STATE ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011032010",
            "telephone_number": "413-748-7698",
            "fax_number": "413-827-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELGOWSKI",
        "first_name": "BRITTANY",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.