Eleanor Zacks

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY10426 Issued in CA

Practice address

9700 Fair Oaks Blvd
Suite D
Fair Oaks, CA 95628-7079

Phone

(916) 863-1790

NPI assigned

Jun 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Ellie Zacks Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2013 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Ellie Zacks, PHD Clinical Psychologist, Apc

  • Psychologist
  • Fair Oaks, CA
  • NPI 1821048067

  Clinical

  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316973993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 FAIR OAKS BLVD",
            "address_2": "SUITE D",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287079",
            "telephone_number": "916-863-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 FAIR OAKS BLVD",
            "address_2": "SUITE D",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287079",
            "telephone_number": "916-863-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACKS",
        "first_name": "ELEANOR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIE",
            "last_name": "ZACKS",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Michelle Yonkus, APN
• Tredena Nicole Young, N.M.D.
• Kevin Randall Younger, MD
• Linda Yu, D.D.S.
• Golden Yung
• Lincoln Zamperlim de Carvalho
• Holli Jo Zandona, LCSW
• Christine Zeillemaker, RDHAP #508
• Karina Zhelezoglo
• Tatiana Zhirnova

• Clinical Psychologist in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.