Individual provider Active NPI

Peggy Jo Zacher, PSY S

  • School Psychologist
  • Phoenix, AZ
National Provider Identifier
1144396433
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
17835 N 44TH St
Phoenix, AZ 85032-1516
Phone
(602) 493-6120
Fax
(602) 493-6125
NPI assigned
Nov 28, 2006
Last updated
Jul 26, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X AZ Primary

Addresses

Primary practice location

17835 N 44TH St
Phoenix, AZ 85032-1516

Mailing address

19601 N 7TH St Unit 2062
Phoenix, AZ 85024-1647
Phone (602) 493-6120

Other identifiers 1

IdentifierTypeStateIssuer
808470MedicaidAZ

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1144396433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19601 N 7TH ST UNIT 2062",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850241647",
            "telephone_number": "602-493-6120",
            "fax_number": "602-493-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17835 N 44TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321516",
            "telephone_number": "602-493-6120",
            "fax_number": "602-493-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHER",
        "first_name": "PEGGY",
        "middle_name": "JO",
        "credential": "PSY S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808470",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.