Individual provider Active NPI

Zachary Hankle

  • Psychologist
  • Bala Cynwyd, PA
National Provider Identifier
1356980130
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS020079 Issued in PA
Practice address
112 Bala Ave Unit 11
Bala Cynwyd, PA 19004-3025
Phone
(610) 667-6490
NPI assigned
Dec 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS020079 PA Primary

Addresses

Primary practice location

112 Bala Ave Unit 11
Bala Cynwyd, PA 19004-3025

Mailing address

112 Bala Ave
Bala Cynwyd, PA 19004-3025
Phone (610) 667-6490

Other practice location 1

3301 Market St Ste 129
Philadelphia, PA 19104-5004
Phone (412) 999-3611

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

LicenseStateTypeSpecialty
PS020079PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anxiety & Agoraphobia Treatment Center, PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1356980130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BALA AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043025",
            "telephone_number": "610-667-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BALA AVE UNIT 11",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043025",
            "telephone_number": "610-667-6490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Market St Ste 129",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191045004",
            "country_code": "US",
            "telephone_number": "412-999-3611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANKLE",
        "first_name": "ZACHARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-27",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS020079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.