D Zaccheo PHD PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 2705 Issued in FL

Legal business name

D ZACCHEO PHD PA

Practice address

320 SE Florida St
Stuart, FL 34994-3815

Phone

(772) 287-0217

Fax

(772) 287-0906

NPI assigned

Mar 12, 2007

Last updated

Nov 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dominic Zaccheo

Title

President

Phone

(772) 287-0217

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Virginia O Jones, LCSW

  • Clinical Social Worker
  • Jensen Beach, FL
  • NPI 1548391147
  NPD (past)
• Robert P Odgers, PHD

  • Clinical Neuropsychologist
  • Stuart, FL
  • NPI 1053300350
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1366574527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950689",
            "telephone_number": "772-287-0217",
            "fax_number": "772-287-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SE FLORIDA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943815",
            "telephone_number": "772-287-0217",
            "fax_number": "772-287-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D ZACCHEO PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "ZACCHEO",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-287-0217"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 2705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Cutler
• Martin E Cutler, M.D.
• Niko Cutler
• D M Tek Inc
• D Roberts Construction
• Sarah D'Ambra, MS, BCBA
• Veronica D'Andria, APRN
• Crystal Marie D'Gracia
• Madeleine Nicole Daehn
• Yonathan Belete Dagnew

• Clinical Psychologist in Stuart, FL
• Providers in Stuart, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.