Patsy H Zakaras, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

19-209 Issued in MS

Practice address

15465 Oak LN
Ste. D.
Gulfport, MS 39503-2663

Phone

(228) 832-5041

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Patsy Jean Harrison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: pzakaras@direct.mhg.com

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1043254345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2341",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395052341",
            "telephone_number": "228-832-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15465 OAK LN",
            "address_2": "STE. D.",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032663",
            "telephone_number": "228-832-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKARAS",
        "first_name": "PATSY",
        "middle_name": "H",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MS",
            "license": "19-209",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MS",
            "license": "19-209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATSY",
            "last_name": "HARRISON",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyler Shea Youngblood, RBT
• Sadaf Zahra, M.D
• Kubra Zainab, M.D
• Lauren Suzanne Zakaras, LCSW, DBH
• Michael E. Zakaras, PHD
• Thinn Zaw, MD, MPH
• Lena Zee, R.D.
• Alyssa Morgan Zelenka
• Ismin Zen, MD
• Lauren Elizabeth Zezenski

• Clinical Psychologist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Clinical Psychologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.