Cheryl Robyn Zauderer, PHD, CNM, PMHNP-BC,

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F400950-01 Issued in NY

Practice address

2 Memas CT
Dix Hills, NY 11746-5224

Phone

(631) 897-1285

NPI assigned

Jun 25, 2007

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

Credentials

Certified Nurse Midwife, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1568668663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEMAS CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465224",
            "telephone_number": "631-897-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEMAS CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465224",
            "telephone_number": "631-897-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAUDERER",
        "first_name": "CHERYL",
        "middle_name": "ROBYN",
        "name_prefix": "Dr.",
        "credential": "PHD, CNM, PMHNP-BC,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "F400950-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F400950-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Marie Yoos
• Amy Younai, MD
• Adriana Zambrano, LMSW
• Marni E Zaret, MA,C.C.C., SLP
• Lisa Zarkadas, MA SLP TSHH
• Stephanie Zauderer, L.AC
• Amy Zdrodowski, OTR/L
• NA Zhao
• Faaiza Ziauddin
• Deborah Zimmerman, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.