Active NPI
Deanne U. Zotter, PH.D.
- Clinical Psychologist
- Chadds Ford, PA
National Provider Identifier
1487795522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS007150L
- Practice address
- 5 Christy Dr
Suite 102
Chadds Ford, PA 19317-9682 - Phone
- (484) 947-3268
- NPI assigned
- Feb 10, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS007150L | PA | |
| Clinical Psychologist | 103TC0700X | PS007150L | PA | Primary |
Addresses
Primary practice location
5 Christy Dr
Suite 102
Chadds Ford, PA 19317-9682
Mailing address
291 Dressage CT
West Chester, PA 19382-2365
Phone (484) 947-3268
Other names 1
- Dr. Deanne Zotter Bonifazi
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS007150L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222646400000",
"number": "1487795522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 DRESSAGE CT",
"city": "WEST CHESTER",
"state": "PA",
"postal_code": "193822365",
"telephone_number": "484-947-3268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 CHRISTY DR",
"address_2": "SUITE 102",
"city": "CHADDS FORD",
"state": "PA",
"postal_code": "193179682",
"telephone_number": "484-947-3268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOTTER",
"first_name": "DEANNE",
"middle_name": "U.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-10",
"last_updated": "2008-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS007150L",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS007150L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEANNE",
"last_name": "BONIFAZI",
"middle_name": "ZOTTER",
"prefix": "DR.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chadds Ford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.