Ellen Zaslaw, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6140 Issued in NY

Practice address

215 N Cayuga St
Box 46
Ithaca, NY 14850-4329

Phone

(607) 273-0705

NPI assigned

Dec 30, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Psychologist

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316003486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N CAYUGA ST",
            "address_2": "BOX 46",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504329",
            "telephone_number": "607-273-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N CAYUGA ST",
            "address_2": "BOX 46",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148504329",
            "telephone_number": "607-273-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZASLAW",
        "first_name": "ELLEN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "6140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00578616",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Zalewski-Gibson, NPP
• Sohrab Zand, MB, BCH, BOA
• Joseph Peter Zanfordino, MA CCC/SP
• Douglas Michael Zang, MD
• Katherine Heiss Zang, MD
• Marcia S Zax, DDS
• Samantha Christy Zeitz
• Meredith Breann Zembiec, M.S. PA-C
• Fanrui Zeng, DDS
• Azka Shahid Zergham, MD

• Clinical Psychologist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.