Zachary B Rose, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

024157 Issued in NY

Practice address

1955 Merrick Rd Ste 205
Merrick, NY 11566-4635

Phone

(516) 234-5005

Fax

(516) 706-3333

NPI assigned

Feb 16, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Zachary B. Rose, Psy.D., PLLC

  • Community/Behavioral Health Agency
  • Merrick, NY
  • NPI 1518532365
  NPD Authorized official

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1134712656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 HARBOR LN",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117624003",
            "telephone_number": "516-234-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MERRICK RD STE 205",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664635",
            "telephone_number": "516-234-5005",
            "fax_number": "516-706-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ZACHARY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-16",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Rodin
• Carolyn Rodriguez I
• James W Rogers, DC
• Lindsay Ann Rojas, LCSW
• Angela M Rondinella
• Jena Rosengart, MSED
• Daniel Mitchell Rosenthal, M.D.
• Gloria S. Rothenberg, PH. D.
• Howard Rothenberg, LCSW
• Jennifer Lee Rowell, P.T.

• Clinical Psychologist in Merrick, NY
• Providers in Merrick, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.