Peter Angelo Zammuto, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071011118 Issued in IL

Practice address

7210 E State St Ste 204
Rockford, IL 61108-2636

Phone

(608) 313-4340

Fax

(815) 595-4628

NPI assigned

Dec 11, 2023

Sex

Male

Sole proprietor

No

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

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Edgewood Clinical Services, P.C.

  • Psychologist
  • Naperville, IL
  • NPI 1295914646
  Medicare reassignment NPD
• Atlas Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rockford, IL
  • NPI 1871487470
  NPD Authorized official
• Pcpa Legacy, LLC

  • Clinical Psychologist
  • Northbrook, IL
  • NPI 1093030132

  Clinical Child & Adolescent

  NPD (past)
• Psychology Specialists LTD

  • Clinical Psychologist
  • Bloomington, IL
  • NPI 1053368605
  NPD (past)
• The Behavioral Health Cooperative, LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1497428817
  NPD (past)

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1609643519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 E STATE ST STE 204",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082636",
            "telephone_number": "608-313-4340",
            "fax_number": "815-595-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 E STATE ST STE 204",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082636",
            "telephone_number": "608-313-4340",
            "fax_number": "815-595-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMMUTO",
        "first_name": "PETER",
        "middle_name": "ANGELO",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071011118",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed Rafe Zaidi, M.D.
• Raynel Zaitona
• Jeffrey Scott Zajkowski, LPC
• Joseph L Zakarija, DDS
• Mohammed S Zaman, DO
• Noemi Zamudio, CNP
• Richard L Zanocco, D.D.S.
• Yulisa Zarco, RBT
• Mark D Zarnke, M.D.
• Andrzej Zasadny, PHYSICAL THERAPIST

• Psychologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.