Miriam Sarah Zicht, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5554 Issued in FL

Practice address

36362 US Highway 19 N
Sein Professional Center
Palm Harbor, FL 34684-1328

Phone

(727) 787-6177

Fax

(727) 787-8066

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Psychological Services of Palm Harbor Inc

  • Psychologist
  • Palm Harbor, FL
  • NPI 1639203763

  Clinical

  NPD (past)
• Patrick Klein LCSW PA

  • Clinical Social Worker
  • Palm Harbor, FL
  • NPI 1386827871
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1447338363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36362 US HIGHWAY 19 NORTH",
            "address_2": "SEIN PROFESSIONAL CENTER",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "34684",
            "telephone_number": "727-787-6177",
            "fax_number": "727-787-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36362 US HIGHWAY 19 N",
            "address_2": "SEIN PROFESSIONAL CENTER",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841328",
            "telephone_number": "727-787-6177",
            "fax_number": "727-787-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICHT",
        "first_name": "MIRIAM",
        "middle_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "54832",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Zaporteza, AGPCNP-BC
• Zebra II Corp. (Image Eyewear)
• Laurence Zeitlin, M.D.
• Ergys Zeka
• John Zhang
• Amy Nicole Zitiello, DO
• Ashton Zitzman
• Lynda Zuccaro
• Felix P Zyra, RPH

• Clinical Psychologist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.