Active NPI
Dayna Marie Zatina Egan, PSY.D.
- Clinical Child & Adolescent Psychologist
- Mt Arlington, NJ
National Provider Identifier
1548576200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 019673
- Practice address
- 111 Howard Blvd
Mt Arlington, NJ 07856-1315 - Phone
- (973) 601-0100
- Fax
- (973) 440-1656
- NPI assigned
- Aug 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 019673 | NY | Primary |
Addresses
Primary practice location
111 Howard Blvd
Mt Arlington, NJ 07856-1315
Mailing address
111 Howard Blvd
Mt Arlington, NJ 07856-1315
Phone (973) 601-0100
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WVE061 | Other | NY | AGENCY MEDICARE # |
| 00355940 | Other | NY | AGENCY MEDICAID PROVIDER |
| 1285628552 | Other | NY | AGENCY NPI # |
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 |
|---|---|---|---|
| 019673 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Neurocognitive Institute LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Neuropsychologist
- Mt Arlington, NJ
- NPI 1841573375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1548576200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 HOWARD BLVD",
"city": "MT ARLINGTON",
"state": "NJ",
"postal_code": "078561315",
"telephone_number": "973-601-0100",
"fax_number": "973-440-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 HOWARD BLVD",
"city": "MT ARLINGTON",
"state": "NJ",
"postal_code": "078561315",
"telephone_number": "973-601-0100",
"fax_number": "973-440-1656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZATINA EGAN",
"first_name": "DAYNA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-19",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "019673",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY MEDICARE #",
"identifier": "WVE061",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY MEDICAID PROVIDER",
"identifier": "00355940",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY NPI #",
"identifier": "1285628552",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mt Arlington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.