Active NPI
Karen Michelle Zambrano, PSY.D.
- Clinical Psychologist
- Euless, TX
National Provider Identifier
1295280295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY10585
- Practice address
- 900 Grange Hall Dr Apt 6315
Euless, TX 76039-1979 - Phone
- (323) 219-9109
- NPI assigned
- Aug 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | SS1253 | FL | |
| Clinical Psychologist | 103TC0700X | PY10585 | FL | Primary |
Addresses
Primary practice location
900 Grange Hall Dr Apt 6315
Euless, TX 76039-1979
Mailing address
900 Grange Hall Dr Apt 6315
Euless, TX 76039-1979
Phone (323) 219-9109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13878318 | Other | CAQH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY10585 | FL | MD | Clinical Psychologist |
| SS1253 | FL | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academic, Behavioral, and Cognitive Testing Services LLC | School | Past | Accepting new patients |
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.
-
- Psychologist
- Miami, FL
- NPI 1427503507
School
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1295280295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 GRANGE HALL DR APT 6315",
"city": "EULESS",
"state": "TX",
"postal_code": "760391979",
"telephone_number": "323-219-9109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 GRANGE HALL DR APT 6315",
"city": "EULESS",
"state": "TX",
"postal_code": "760391979",
"telephone_number": "323-219-9109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAMBRANO",
"first_name": "KAREN",
"middle_name": "MICHELLE",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-18",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "FL",
"license": "SS1253",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY10585",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13878318",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Euless, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.