Organization Active NPI

Zuk Psychology Apc

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1235335837
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY19892 Issued in CA
Legal business name
ZUK PSYCHOLOGY APC
Practice address
311 Laurel St
San Diego, CA 92101-1630
Phone
(858) 200-5671
Fax
(619) 231-1050
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ilan Zuk, PH.D.
Title
Owner
Phone
(858) 200-5671

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY19892 CA Primary

Addresses

Primary practice location

311 Laurel St
San Diego, CA 92101-1630

Mailing address

311 Laurel St
San Diego, CA 92101-1630
Phone (858) 200-5671

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235335837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 LAUREL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011630",
            "telephone_number": "858-200-5671",
            "fax_number": "619-231-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 LAUREL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011630",
            "telephone_number": "858-200-5671",
            "fax_number": "619-231-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUK PSYCHOLOGY APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZUK",
        "authorized_official_first_name": "ILAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-200-5671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.