Individual provider Active NPI

Albert Ratzin, PSY.D

  • Psychologist
  • Allentown, PA
National Provider Identifier
1205865060
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS015104 Issued in PA
Practice address
1600 Hanover Ave
Allentown, PA 18109-2408
Phone
(610) 740-3409
Fax
(610) 740-3413
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS015104 PA Primary

Addresses

Primary practice location

1600 Hanover Ave
Allentown, PA 18109-2408

Mailing address

1600 Hanover Ave
Allentown, PA 18109-2408
Phone (610) 740-3409

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS015104PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Human Services Center Inc Past Accepting new patients
Tri County Human Services Center Inc 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": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1205865060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HANOVER AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092408",
            "telephone_number": "610-740-3409",
            "fax_number": "610-740-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HANOVER AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181092408",
            "telephone_number": "610-740-3409",
            "fax_number": "610-740-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATZIN",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.