Individual provider Active NPI

Michael A. Zona, M.D.

  • Psychiatry Physician
  • Boulder, CO
National Provider Identifier
1700075892
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
49365 Issued in CO
Practice address
6654 Gunpark Drive
#101
Boulder, CO 80301
Phone
(310) 261-0035
Fax
(888) 908-4542
NPI assigned
Oct 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G66875 CA
Psychiatry Physician 2084P0800X 49365 CO Primary

Addresses

Primary practice location

6654 Gunpark Drive
#101
Boulder, CO 80301

Mailing address

PO Box 819
Niwot, CO 80544-0819
Phone (310) 261-0035

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
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Jul 31, 2018 through Jul 31, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
49365COMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
G66875CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1700075892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805440819",
            "telephone_number": "310-261-0035",
            "fax_number": "888-908-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6654 GUNPARK DRIVE",
            "address_2": "#101",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80301",
            "telephone_number": "310-261-0035",
            "fax_number": "888-908-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZONA",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G66875",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "49365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.