Individual provider Active NPI

Patrick Zingaro, PSY D

  • Clinical Psychologist
  • Newark, DE
National Provider Identifier
1255992491
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
B10001183 Issued in DE
Practice address
910 S Chapel St Ste 102
Newark, DE 19713-3468
Phone
(302) 224-1400
Fax
(302) 525-6706
NPI assigned
Jun 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X B10001183 DE Primary

Addresses

Primary practice location

910 S Chapel St Ste 102
Newark, DE 19713-3468

Mailing address

910 S Chapel St Ste 102
Newark, DE 19713-3468
Phone (302) 224-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20190904000736 DE Practitioner - Clinical Psychologist 1254660061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
People'S Place II, Inc.Group PAC ID 3173519436, 18 clinicians

Practice addresses (Care Compare)

1131 Airport Rd
Milford, DE 19963-6418
Phone (302) 422-8026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
B10001183DEMDClinical Psychologist

Organizations & group practices 1

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1255992491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S CHAPEL ST STE 102",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133468",
            "telephone_number": "302-224-1400",
            "fax_number": "302-525-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S CHAPEL ST STE 102",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133468",
            "telephone_number": "302-224-1400",
            "fax_number": "302-525-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINGARO",
        "first_name": "PATRICK",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B10001183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.