Active NPI
Zack I Medoff, PHD
- Clinical Psychologist
- Napa, CA
National Provider Identifier
1194977876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 22239
- Practice address
- 2100 Napa Vallejo Hwy
Napa, CA 94558-6234 - Phone
- (707) 253-5000
- Fax
- (707) 253-5513
- NPI assigned
- Oct 14, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 22239 | CA | Primary |
Addresses
Primary practice location
2100 Napa Vallejo Hwy
Napa, CA 94558-6234
Mailing address
PO Box 944202
Sacramento, CA 94244-2020
Phone (916) 654-2431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2026 through Oct 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 22239 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223942400000",
"number": "1194977876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 944202",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "942442020",
"telephone_number": "916-654-2431",
"fax_number": "916-654-3186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 NAPA VALLEJO HWY",
"city": "NAPA",
"state": "CA",
"postal_code": "945586234",
"telephone_number": "707-253-5000",
"fax_number": "707-253-5513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDOFF",
"first_name": "ZACK",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-14",
"last_updated": "2008-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 22239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.