Individual provider Active NPI

Deanne U. Zotter, PH.D.

  • Clinical Psychologist
  • Chadds Ford, PA
National Provider Identifier
1487795522
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS007150L Issued in PA
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

Updated by the provider on Sep 29, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
PS007150LPAMDPsychologist

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.

Verify at the official NPI Registry.