Individual provider Active NPI

Nahal Helen Zakerani, PH.D.

  • Clinical Child & Adolescent Psychologist
  • San Jose, CA
National Provider Identifier
1588921993
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PSY25428 Issued in CA
Practice address
2184 Los Gatos Almaden Rd
San Jose, CA 95124-5420
Phone
(408) 314-6937
NPI assigned
Apr 23, 2012
Last updated
Oct 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY25428 CA
Clinical Psychologist 103TC0700X PSY25428 CA
Clinical Child & Adolescent Psychologist 103TC2200X PSY25428 CA Primary
Family Psychologist 103TF0000X PSY25428 CA
Rehabilitation Psychologist 103TR0400X PSY25428 CA
Health Psychologist 103TH0004X PSY25428 CA

Addresses

Primary practice location

2184 Los Gatos Almaden Rd
San Jose, CA 95124-5420

Mailing address

2184 Los Gatos Almaden Rd
San Jose, CA 95124-5420
Phone (408) 314-6937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140904000583 CA Practitioner - Clinical Psychologist 7113145145 Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2184 Los Gatos Almaden Rd
San Jose, CA 95124-5420
Phone (408) 314-6937

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY25428CAMDHealth Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1588921993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 LOS GATOS ALMADEN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951245420",
            "telephone_number": "408-314-6937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2184 LOS GATOS ALMADEN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951245420",
            "telephone_number": "408-314-6937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKERANI",
        "first_name": "NAHAL",
        "middle_name": "HELEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY25428",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25428",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY25428",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY25428",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "CA",
            "license": "PSY25428",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "PSY25428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.