Active NPI
Kristen Tamara Zygala, PSY.D.
- Clinical Psychologist
- Bel Air, MD
National Provider Identifier
1578876827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 04404
- Practice address
- 2021A Emmorton Rd
Suite 120
Bel Air, MD 21015-8962 - Phone
- (410) 569-5001
- NPI assigned
- Jul 15, 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 Psychologist | 103TC0700X | 04404 | MD | Primary |
Addresses
Primary practice location
2021A Emmorton Rd
Suite 120
Bel Air, MD 21015-8962
Mailing address
2021A Emmorton Rd
Suite 120
Bel Air, MD 21015-8962
Phone (410) 569-5001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0343668 | Medicaid | MD |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1578876827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021A EMMORTON RD",
"address_2": "SUITE 120",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210158962",
"telephone_number": "410-569-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021A EMMORTON RD",
"address_2": "SUITE 120",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210158962",
"telephone_number": "410-569-5001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZYGALA",
"first_name": "KRISTEN",
"middle_name": "TAMARA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-15",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04404",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0343668",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bel Air, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.