Elena Pezzini, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSB94027529 Issued in CA

Practice address

1043 Garland Ave Ste C
San Jose, CA 95126-3159

Phone

(408) 676-5292

NPI assigned

Aug 7, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1669155701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 GARLAND AVE STE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263159",
            "telephone_number": "408-676-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 GARLAND AVE STE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951263159",
            "telephone_number": "408-676-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZINI",
        "first_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSB94027529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Petty, MD
• Yoko Petty
• Andrew John Petulla, P.T.
• Petzoldt Memorial Hand Physical Therapy
• Thomas D Petzoldt, O.T.
• Loretta Mary Pfaff, M.F.T.
• Madison Pfaff, RBT
• Frank Hoa Pfeilsticker
• Eila Phailbus Latif, MA
• Pham and Nong Professional Chiropractic Corporation

• Psychologist in San Jose, CA
• Providers in San Jose, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.