Active NPI
Zachary David Torry, M.D.
- Psychiatry Physician
- Mill Valley, CA
National Provider Identifier
1659529212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A113782
- Practice address
- 45 Camino Alto
Suite 204
Mill Valley, CA 94941-2929 - Phone
- (650) 458-7407
- Fax
- (650) 458-0403
- NPI assigned
- Sep 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 255403 | NY | |
| Psychiatry Physician | 2084P0800X | A113782 | CA | Primary |
| Psychiatry Physician | 2084P0800X | MD439970 | PA |
Addresses
Primary practice location
45 Camino Alto
Suite 204
Mill Valley, CA 94941-2929
Mailing address
45 Camino Alto
Suite 204
Mill Valley, CA 94941-2929
Phone (650) 458-7407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2021 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A113782 | CA | MD | Psychiatry Physician |
| 255403 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Main Line Healthcare | 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.
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1659529212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 CAMINO ALTO",
"address_2": "SUITE 204",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412929",
"telephone_number": "650-458-7407",
"fax_number": "650-458-0403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 CAMINO ALTO",
"address_2": "SUITE 204",
"city": "MILL VALLEY",
"state": "CA",
"postal_code": "949412929",
"telephone_number": "650-458-7407",
"fax_number": "650-458-0403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRY",
"first_name": "ZACHARY",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-08",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "255403",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A113782",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD439970",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.