Individual provider Active NPI

Julie Rockwood Zakreski, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Red Bank, NJ
National Provider Identifier
1679548192
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
2152 Issued in NJ
Practice address
272 Broad St
Red Bank, NJ 07701-2003
Phone
(732) 741-0456
Fax
(732) 219-9477
NPI assigned
Feb 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 2152 NJ Primary

Addresses

Primary practice location

272 Broad St
Red Bank, NJ 07701-2003

Mailing address

40 Avenue at the CMN
Suite 203
Shrewsbury, NJ 07702-4800
Phone (732) 544-9079

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

State licenses

LicenseStateTypeSpecialty
2152NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Psychology Associates, LLC Clinical Child & Adolescent 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.

NPI Registry JSON

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

{
    "created_epoch": "1140307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679548192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AVENUE AT THE CMN",
            "address_2": "SUITE 203",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024800",
            "telephone_number": "732-544-9079",
            "fax_number": "732-544-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 BROAD ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012003",
            "telephone_number": "732-741-0456",
            "fax_number": "732-219-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKRESKI",
        "first_name": "JULIE",
        "middle_name": "ROCKWOOD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NJ",
            "license": "2152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.