Ilyse Anne Zable, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY1001001 Issued in DC

Practice address

152 Brattle St
Cambridge, MA 02138-2235

Phone

(781) 402-9139

NPI assigned

Oct 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1477957512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BRATTLE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021382235",
            "telephone_number": "781-402-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BRATTLE ST",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021382235",
            "telephone_number": "781-402-9139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 M St NW",
            "address_2": "Suite 503",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200371404",
            "country_code": "US",
            "telephone_number": "202-986-5941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZABLE",
        "first_name": "ILYSE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "11264",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1001001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley J Yu, PHARMD
• Liqun Yuan
• Ye Yuan
• Carol K Yun, DMD
• Aisha Saeedi Yusufzai
• Jillian Zablonski, PHARMD
• Eduardo Yosi Zaidner, M.D.
• Tauheed Zaman
• Hjalmar Manuel Zambrana Bonaparte, PSYD
• Emily Sarah Zames

• Psychologist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.