John T Zetdeff, ANALYTIC PSYCHOTHERA

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

000614-1 Issued in NY

Practice address

11 Hamlet CT
Wappingers Falls, NY 12590-4448

Phone

(845) 297-9306

NPI assigned

Jan 7, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• John T Zetdeff Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1295910461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HAMLET CT",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904448",
            "telephone_number": "845-297-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 HAMLET CT",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904448",
            "telephone_number": "845-297-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETDEFF",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "ANALYTIC PSYCHOTHERA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000614-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "ZETDEFF",
            "middle_name": "T",
            "credential": "ANALYTIC PSYCHOTHERA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Psychoanalyst in Wappingers Falls, NY
• Providers in Wappingers Falls, NY by specialty
• Psychoanalyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.