Active NPI
Daniel P Zwillenberg, PSYD
- Cognitive & Behavioral Psychologist
- Bronx, NY
National Provider Identifier
1093090524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 019299
- Practice address
- 645 W 239TH St
Apt 5B
Bronx, NY 10463-1234 - Phone
- (484) 889-9195
- NPI assigned
- Oct 16, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 019299 | NY | Primary |
Addresses
Primary practice location
645 W 239TH St
Apt 5B
Bronx, NY 10463-1234
Mailing address
1 N Broadway Ste 912
White Plains, NY 10601-2322
Phone (914) 385-1150
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The McLean Hospital Corporation | Current | Accepting new patients |
Interoperability endpoints
- zwillenberg.daniel.mcl@direct.partners.masshiway.net
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.
-
- Psychiatry Physician
- Belmont, MA
- NPI 1114979580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318723200000",
"number": "1093090524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 N BROADWAY STE 912",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106012322",
"telephone_number": "914-385-1150",
"fax_number": "914-385-1155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 W 239TH ST",
"address_2": "APT 5B",
"city": "BRONX",
"state": "NY",
"postal_code": "104631234",
"telephone_number": "484-889-9195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZWILLENBERG",
"first_name": "DANIEL",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-16",
"last_updated": "2011-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "019299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.