Zachery Doubleday, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

9006 Issued in CT

Practice address

26 Chamberlain Hwy
Berlin, CT 06037-1921

Phone

(860) 893-0040

NPI assigned

Aug 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Paragon Behavioral Health, LLCGroup PAC ID 1850301508, 10 clinicians

Practice addresses (Care Compare)

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.

• Paragon Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kensington, CT
  • NPI 1972620961
  Medicare reassignment Care Compare group NPD
• Paragon Behavioral Health, LLC

  • Clinical Social Worker
  • Kensington, CT
  • NPI 1083731079
  NPD
• Paragon Behavioral Health, LLC

  • Marriage & Family Therapist
  • Berlin, CT
  • NPI 1629890553
  NPD
• Teryn Andy Aprn LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Manchester, CT
  • NPI 1215485537
  NPD (past)

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1649880915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CHAMBERLAIN HWY",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060371921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CHAMBERLAIN HWY",
            "city": "BERLIN",
            "state": "CT",
            "postal_code": "060371921",
            "telephone_number": "860-893-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUBLEDAY",
        "first_name": "ZACHERY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "9006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Defrancesco
• Dennis S Gianoli DDS PC
• Johana Luisa Diaz
• Dizney Behavioral Health
• Gjergji Dojce, PHARM.D
• Emilie Marie Dube
• Othman Najib El-Alami, M.D.
• Stela Elmazi, PHARMD
• Emalie Reinert LMFT, LLC
• Farmington 1067 LLC

• Psychiatric/Mental Health Nurse Practitioner in Berlin, CT
• Providers in Berlin, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.

Verify at the official NPI Registry.