Individual provider Active NPI

Gail Vant Zelfde, PH.D.

  • Clinical Psychologist
  • Ambler, PA
National Provider Identifier
1053397596
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS005338L Issued in PA
Practice address
158 E Butler Ave
Suite 3
Ambler, PA 19002-4436
Phone
(610) 941-0196
NPI assigned
Dec 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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 PS005338L PA Primary

Addresses

Primary practice location

158 E Butler Ave
Suite 3
Ambler, PA 19002-4436

Mailing address

158 E Butler Ave
Suite 3
Ambler, PA 19002-4436
Phone (610) 941-0196

Other identifiers 5

IdentifierTypeStateIssuer
001661409OtherPAAMERIHEALTH
466001OtherPABLUE CROSS/BLUE SHIELD
5616328OtherPAAETNA
487643000OtherPAMAGELLAN
0261731000OtherPAPERSONAL CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000861 PA Practitioner - Clinical Psychologist 7214920230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

158 E Butler Ave
Suite 3
Ambler, PA 19002-4436
Phone (610) 941-0196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Gail Vant Zelfde, PH.D., LLC Clinical CurrentSince Feb 2, 2013 Accepting new patients

Locations

158 E Butler Ave
Ste 3
Ambler, PA 19002
Phone (215) 985-9336

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1053397596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 E BUTLER AVE",
            "address_2": "SUITE 3",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190024436",
            "telephone_number": "610-941-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E BUTLER AVE",
            "address_2": "SUITE 3",
            "city": "AMBLER",
            "state": "PA",
            "postal_code": "190024436",
            "telephone_number": "610-941-0196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANT ZELFDE",
        "first_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005338L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "001661409",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "466001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5616328",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "487643000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0261731000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ambler, PA

Sources for this page

Verify at the official NPI Registry.