Active NPI
Rose Zayco, PSY.D.
- Clinical Psychologist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY 8136
- Practice address
- 2523 Herschel St
Jacksonville, FL 32204 - Phone
- (904) 351-8136
- Fax
- (888) 972-6788
- NPI assigned
- Aug 12, 2010
- Last updated
- Jan 5, 2022
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY 8136 | FL | Primary |
Addresses
Primary practice location
2523 Herschel St
Jacksonville, FL 32204
Mailing address
2523 Herschel St
Jacksonville, FL 32204-4509
Phone (904) 351-8136
Other practice location 1
4210 Valley Ridge Blvd Ste 145
Ponte Vedra, FL 32081-5184
Phone (904) 351-8136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2523 Herschel St
Jacksonville, FL 32204-4509
Phone (904) 351-8136
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY 8136 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose Zayco, Psy.D. Inc. | Clinical | Current | Accepting new patients |
Locations
2523 Herschel St
Jacksonville, FL 32204
Phone (786) 868-7017
4210 Valley Ridge Blvd
Ste 145
Ponte Vedra, FL 32081
Phone (904) 351-8136
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.
-
- Clinical Psychologist
- Jacksonville, FL
- NPI 1982911780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1649585720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2523 HERSCHEL ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044509",
"telephone_number": "904-351-8136",
"fax_number": "888-972-6788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2523 HERSCHEL ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32204",
"telephone_number": "904-351-8136",
"fax_number": "888-972-6788"
}
],
"practiceLocations": [
{
"address_1": "4210 Valley Ridge Blvd Ste 145",
"address_purpose": "LOCATION",
"city": "Ponte Vedra",
"state": "FL",
"postal_code": "320815184",
"country_code": "US",
"telephone_number": "904-351-8136",
"fax_number": "888-972-6788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAYCO",
"first_name": "ROSE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-12",
"last_updated": "2022-01-05",
"certification_date": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY 8136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.