Active NPI
Ellen Daniels Zide, ED.D.
- Cognitive & Behavioral Psychologist
- New York, NY
National Provider Identifier
1457564114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 6116
- Practice address
- 660 First Avenue
Room 306
New York, NY 10016-4901 - Phone
- (212) 263-6809
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 000437 | NY | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 1952 | MA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 0503 | NC | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 6116 | CA | Primary |
Addresses
Primary practice location
660 First Avenue
Room 306
New York, NY 10016-4901
Mailing address
660 First Avenue
Room 306
New York, NY 10016-4901
Phone (212) 263-6809
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6116 | CA | MD | Cognitive & Behavioral Psychologist |
| 1952 | MA | MD | Cognitive & Behavioral Psychologist |
| 0503 | NC | MD | Athletic Trainer |
| 000437 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1457564114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 FIRST AVENUE",
"address_2": "ROOM 306",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164901",
"telephone_number": "212-263-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 FIRST AVENUE",
"address_2": "ROOM 306",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164901",
"telephone_number": "212-263-6809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIDE",
"first_name": "ELLEN",
"middle_name": "DANIELS",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "000437",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "1952",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "0503",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "6116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.