Active NPI
Edward L Zuckerman, PHD
- Psychologist
- Greensburg, PA
National Provider Identifier
1407836976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS002424L
- Practice address
- 338 Albrights Lake Rd
Greensburg, PA 15601-6293 - Phone
- (724) 838-9509
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS002424L | PA | Primary |
Addresses
Primary practice location
338 Albrights Lake Rd
Greensburg, PA 15601-6293
Mailing address
338 Albrights Lake Rd
Greensburg, PA 15601-6293
Phone (724) 838-8339
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS002424L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348531200000",
"number": "1407836976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "338 ALBRIGHTS LAKE RD",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156016293",
"telephone_number": "724-838-8339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "338 ALBRIGHTS LAKE RD",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156016293",
"telephone_number": "724-838-9509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUCKERMAN",
"first_name": "EDWARD",
"middle_name": "L",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2012-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS002424L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.