Active NPI
Jessica L Zdatny
- School Psychologist
- New Castle, DE
National Provider Identifier
1619252970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 59777
- Practice address
- 318 E Basin Rd
Colonial School District
New Castle, DE 19720-4214 - Phone
- (302) 323-2700
- NPI assigned
- Oct 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 59777 | DE | Primary |
Addresses
Primary practice location
318 E Basin Rd
Colonial School District
New Castle, DE 19720-4214
Mailing address
555 Hyetts Corner Rd
Cost Recovery
Middletown, DE 19709-8907
Phone (302) 449-3603
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59777 | DE | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Delaware | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Local Education Agency (LEA)
- New Castle, DE
- NPI 1841334711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318982400000",
"number": "1619252970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 HYETTS CORNER RD",
"address_2": "COST RECOVERY",
"city": "MIDDLETOWN",
"state": "DE",
"postal_code": "197098907",
"telephone_number": "302-449-3603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 E BASIN RD",
"address_2": "COLONIAL SCHOOL DISTRICT",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197204214",
"telephone_number": "302-323-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZDATNY",
"first_name": "JESSICA",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-19",
"last_updated": "2011-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "DE",
"license": "59777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Castle, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.