Active NPI
Jason Craig Zeltser, PHD
- Clinical Psychologist
- Pleasant Hill, CA
National Provider Identifier
1124683388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 30915
- Practice address
- 25 Crescent Dr # A128
Pleasant Hill, CA 94523-5508 - Phone
- (925) 350-4996
- NPI assigned
- May 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 30915 | CA | Primary |
Addresses
Primary practice location
25 Crescent Dr # A128
Pleasant Hill, CA 94523-5508
Mailing address
25 Crescent Dr # A128
Pleasant Hill, CA 94523-5508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190619000964 | CA | Practitioner - Clinical Psychologist | 8820322274 | Practice locations: Antioch, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637280000000",
"number": "1124683388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 CRESCENT DR # A128",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945235508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 CRESCENT DR # A128",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945235508",
"telephone_number": "925-350-4996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELTSER",
"first_name": "JASON",
"middle_name": "CRAIG",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-03",
"last_updated": "2021-11-19",
"certification_date": "2021-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "30915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.