Individual provider Active NPI

Nicholas J. Zirpolo, PH. D.

  • Counseling Psychologist
  • Palo Alto, CA
National Provider Identifier
1033155569
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PSY11597 Issued in CA
Practice address
4161 El Camino Way
Suite B
Palo Alto, CA 94306-4006
Phone
(650) 494-1215
Fax
(650) 494-7272
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PSY11597 CA Primary

Addresses

Primary practice location

4161 El Camino Way
Suite B
Palo Alto, CA 94306-4006

Mailing address

4161 El Camino Way
Suite B
Palo Alto, CA 94306-4006
Phone (650) 494-1215

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY11597CAMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1033155569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 EL CAMINO WAY",
            "address_2": "SUITE B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943064006",
            "telephone_number": "650-494-1215",
            "fax_number": "650-494-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 EL CAMINO WAY",
            "address_2": "SUITE B",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943064006",
            "telephone_number": "650-494-1215",
            "fax_number": "650-494-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIRPOLO",
        "first_name": "NICHOLAS",
        "middle_name": "J.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY11597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; 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.