Individual provider Active NPI

Phyllis S Zilkha, PH.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1164619854
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
011742 Issued in NY
Practice address
301 E 79TH St
23A
New York, NY 10075-0951
Phone
(212) 988-7170
Fax
(212) 988-7170
NPI assigned
Sep 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 011742 NY Primary

Addresses

Primary practice location

301 E 79TH St
23A
New York, NY 10075-0951

Mailing address

301 E 79TH St
23A
New York, NY 10075-0951
Phone (212) 988-7170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20091026000106 NY Practitioner - Clinical Psychologist 6002953940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

94 School St
Glen Cove, NY 11542-2513
Phone (516) 674-3007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ilana Kochen M.D P.C. Past Accepting new patients

Organizations & group practices 2

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1164619854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 79TH ST",
            "address_2": "23A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750951",
            "telephone_number": "212-988-7170",
            "fax_number": "212-988-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 79TH ST",
            "address_2": "23A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750951",
            "telephone_number": "212-988-7170",
            "fax_number": "212-988-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZILKHA",
        "first_name": "PHYLLIS",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.