Active NPI
Joel David Ziff, ED.D., PSYCHOLOGIST
- Psychologist
- Newton Center, MA
National Provider Identifier
1154484822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2485
- Practice address
- 62 Athelstane Rd
Newton Center, MA 02459-2419 - Phone
- (617) 965-3932
- NPI assigned
- Dec 17, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2485 | MA | Primary |
Addresses
Primary practice location
62 Athelstane Rd
Newton Center, MA 02459-2419
Mailing address
62 Athelstane Rd
Newton Center, MA 02459-2419
Phone (617) 965-3932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W02624 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2013 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2485 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154484822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 ATHELSTANE RD",
"city": "NEWTON CENTER",
"state": "MA",
"postal_code": "024592419",
"telephone_number": "617-965-3932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 ATHELSTANE RD",
"city": "NEWTON CENTER",
"state": "MA",
"postal_code": "024592419",
"telephone_number": "617-965-3932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIFF",
"first_name": "JOEL",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "ED.D., PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "2485",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "W02624",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton Center, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.