Individual provider Active NPI

Michele Zaccario, PH.D.

  • Clinical Child & Adolescent Psychologist
  • New York, NY
National Provider Identifier
1669801700
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
015269 Issued in NY
Practice address
317 East 34TH Street
NYU Langone Medical Center - Pediatrics Suite 9TH Floor
New York, NY 10016
Phone
(212) 263-7950
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 015269 NY Primary

Addresses

Primary practice location

317 East 34TH Street
NYU Langone Medical Center - Pediatrics Suite 9TH Floor
New York, NY 10016

Mailing address

41 Park Row RM 1305
Pace University
New York, NY 10038-1508
Phone (212) 346-1795

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1669801700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PARK ROW RM 1305",
            "address_2": "PACE UNIVERSITY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381508",
            "telephone_number": "212-346-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 EAST 34TH STREET",
            "address_2": "NYU LANGONE MEDICAL CENTER - PEDIATRICS SUITE 9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10016",
            "telephone_number": "212-263-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACCARIO",
        "first_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "015269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.