Individual provider Active NPI

Mayra A. Nunez Zapata, PSY.D.

  • Clinical Psychologist
  • Freehold, NJ
National Provider Identifier
1346770799
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
163-025 Issued in NJ
Practice address
509 Stillwells Corner Rd Ste 7
Freehold, NJ 07728-2965
Phone
(732) 683-2322
NPI assigned
Jun 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 163-025 NJ Primary

Addresses

Primary practice location

509 Stillwells Corner Rd Ste 7
Freehold, NJ 07728-2965

Mailing address

509 Stillwells Corner Rd Ste 7
Freehold, NJ 07728-2965
Phone (732) 683-2322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20200115000344 PA Practitioner - Clinical Psychologist 8224463542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychology and Counseling Associates, PCGroup PAC ID 9335127067, 40 clinicians

Practice addresses (Care Compare)

2091 E High St
Pottstown, PA 19464-3211
Phone (610) 970-5234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
163-025NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Rivera Marano, Psy.D., LLC CurrentSince Jul 24, 2022 Accepting new patients
Psychology & Counseling Associates, PC Clinical CurrentSince Sep 27, 2020 Accepting new patients

Locations

509 Stillwells Corner Rd
Ste 7
Freehold, NJ 07728
Phone (732) 683-2322

555 Second Ave
Ste G120
Collegeville, PA 19426
Phone (610) 489-6240

2091 E High St
Pottstown, PA 19464
Phone (610) 970-5234

Organizations & group practices 2

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": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346770799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER RD STE 7",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282965",
            "telephone_number": "732-683-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 STILLWELLS CORNER RD STE 7",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282965",
            "telephone_number": "732-683-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ ZAPATA",
        "first_name": "MAYRA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "163-025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.