Individual provider Active NPI

Nicolette Karina Robbins Zangari, PHD

  • Clinical Psychologist
  • Long Beach, CA
National Provider Identifier
1144092099
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34628 Issued in CA
Practice address
3950 Long Beach Blvd
Long Beach, CA 90807-5411
Phone
(562) 684-1300
NPI assigned
Oct 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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 34628 CA Primary

Addresses

Primary practice location

3950 Long Beach Blvd
Long Beach, CA 90807-5411

Mailing address

4260 Tulane Ave
Long Beach, CA 90808-1445
Phone (818) 355-2037

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240129003364 CA Practitioner - Clinical Psychologist 1052764792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psych Lab Psychology IncGroup PAC ID 4880015791, 2 clinicians

Practice addresses (Care Compare)

3950 Long Beach Blvd
Suite 101
Long Beach, CA 90807-5410
Phone (562) 684-1305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34628CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Lab Psychology, Inc. Clinical CurrentSince Feb 1, 2024 Accepting new patients

Locations

3950 Long Beach Blvd
Ste 101
Long Beach, CA 90807
Phone (562) 684-1300

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": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1144092099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 TULANE AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081445",
            "telephone_number": "818-355-2037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908075411",
            "telephone_number": "562-684-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANGARI",
        "first_name": "NICOLETTE",
        "middle_name": "KARINA ROBBINS",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "34628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.