Individual provider Active NPI

Richard Zelhof, PH.D.

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1497724637
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
015507-1 Issued in NY
Practice address
9533 E Covey TRL
Scottsdale, AZ 85262-2546
Phone
(646) 369-5230
Fax
(646) 369-5230
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 015507-1 NY Primary

Addresses

Primary practice location

9533 E Covey TRL
Scottsdale, AZ 85262-2546

Mailing address

9533 E Covey TRL
Scottsdale, AZ 85262-2546
Phone (646) 369-5230

Other identifiers 1

IdentifierTypeStateIssuer
02719928MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041108000311 NY Practitioner - Clinical Psychologist 0244293678 Reassigns benefits to 1 organization
Practice locations: New York, NY
I20241001004182 AZ Practitioner - Clinical Psychologist 0244293678 Practice locations: Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
City University of New York School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Shield of David, Inc.Group PAC ID 2264472026, 15 clinicians

Practice addresses (Care Compare)

14461 Roosevelt Ave
Flushing, NY 11354-6252
Phone 71893987001311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
015507-1NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Shield of David, Inc. CurrentSince Apr 5, 2006 Accepting new patients
Professional Therapeutic Associates Past Accepting new patients
Psychological Potentials PC Past Accepting new patients
Federation Employment and Guidance Service, Inc Past Accepting new patients

Locations

3909 214th Pl
Flushing, NY 11361
Phone (718) 229-5757

14461 Roosevelt Ave
Flushing, NY 11354
Phone (718) 886-1534

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1497724637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9533 E COVEY TRL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852622546",
            "telephone_number": "646-369-5230",
            "fax_number": "646-369-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9533 E COVEY TRL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852622546",
            "telephone_number": "646-369-5230",
            "fax_number": "646-369-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELHOF",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "015507-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02719928",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.