Phyllis S Zilkha PHD Psychologist PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

011742 Issued in NY

Legal business name

PHYLLIS S ZILKHA PHD PSYCHOLOGIST PC

Practice address

301 E 79TH St
23A
New York, NY 10075-0951

Phone

(212) 988-7170

NPI assigned

Jan 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Phyllis S Zilkha, PH.D.NPI 1164619854

Title

President

Phone

(212) 988-7170

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phyllis S Zilkha, PH.D.

  • Psychologist
  • New York, NY
  • NPI 1164619854
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1750437968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 79TH ST",
            "address_2": "23A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750951",
            "telephone_number": "212-988-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 79TH ST",
            "address_2": "23A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750951",
            "telephone_number": "212-988-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS S ZILKHA PHD PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-28",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "ZILKHA",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-988-7170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03156618/1750437968",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "P368383",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waikhine Phu
• Calvin Phung, FNP
• Phung Thien Phung, MD
• Stephen Phung
• Phyllis Lee Krauser
• Physical Rehab PT, PLLC
• Physical Therapy & Feldenkrais Nyc, P.C.
• Physical Therapy Arts
• Physical Therapy Associates of New York LLC
• Physical Therapy Expert, PLLC

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.