Jeremy R Zane, PSY, D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

35SI0058560 Issued in NJ

Practice address

39 S Main St
Mullica Hill, NJ 08062-9402

Phone

(856) 230-2919

NPI assigned

Jan 25, 2007

Last updated

Mar 21, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Zane Psychological Associates

  • Clinical Psychologist
  • Woodstown, NJ
  • NPI 1164383683
  NPD Authorized official
• A to Z Psychological Services LLC

  • Psychologist
  • Mullica Hill, NJ
  • NPI 1831635192
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1073669115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 S MAIN ST",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629402",
            "telephone_number": "609-202-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 S MAIN ST",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629402",
            "telephone_number": "856-230-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANE",
        "first_name": "JEREMY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSY, D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "PC005866",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC005866",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005866",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI0058560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000039278",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Xu, DO
• Prateek Yadav, DO
• Rishi Yerram
• David Michael Young, APN-A
• Julia Youssef, MD
• Susan Zintner-Galloway, RPH
• Rachel Elizabeth Zwiebel, DPM

• Psychologist in Mullica Hill, NJ
• Providers in Mullica Hill, NJ by specialty
• Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.