Individual provider Active NPI

Zachary Infantolino, PHD

  • Psychologist
  • Rochester, NY
National Provider Identifier
1588255350
Registry record updated Oct 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00600300 Issued in NJ
Practice address
70 Linden Oaks FL 3
Rochester, NY 14625-2804
Phone
(908) 912-4291
NPI assigned
Feb 3, 2021
Last updated
Oct 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS2521 ME
Psychologist 103T00000X 023070 NY
Psychologist 103T00000X 35SI00600300 NJ Primary

Addresses

Primary practice location

70 Linden Oaks FL 3
Rochester, NY 14625-2804

Mailing address

75 Barrett Drive #104
Webster, NY 14580
Phone (908) 912-4291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2017 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS2521MEMDPsychologist
35SI00600300NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Zachary Infantolino Psychological Services, PLLC CurrentSince Oct 22, 2023 Accepting new patients

Locations

100 Walnut Ave
Ste 210
Clark, NJ 07066
Phone (732) 226-7400

70 Linden Oaks
Fl 3
Rochester, NY 14625
Phone (585) 204-0268

75 Barrett Dr
Unit 104
Webster, NY 14580

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697328000000",
    "number": "1588255350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 BARRETT DRIVE #104",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "14580",
            "telephone_number": "908-912-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 LINDEN OAKS FL 3",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252804",
            "telephone_number": "908-912-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INFANTOLINO",
        "first_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-03",
        "last_updated": "2023-10-15",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS2521",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "023070",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00600300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.