Anna Zacharcenko, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS007195L Issued in PA

Practice address

2325 Perot Street
Philadelphia, PA 19130

Phone

(215) 232-6327

NPI assigned

Jan 8, 2008

Sex

Female

Sole proprietor

No

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: azacharcenko2140853@direct.trinity-health.org

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.

• St Mary Medical Center

  dba St. Mary Family Medicine Bensalem

  • Family Medicine Physician
  • Bensalem, PA
  • NPI 1083622286

  Psychologist

  Medicare reassignment NPD
• St Mary Medical Center

  dba St. Clare Pharmacy

  • Community/Retail Pharmacy
  • Langhorne, PA
  • NPI 1750683504
  NPD
• Jeffrey S Grand, PSYD, PLLC

  • Clinical Psychologist
  • Jenkintown, PA
  • NPI 1346364957
  NPD (past)
• Optimal Mental Health & Wellness, PLLC

  • Adult Mental Health Clinic/Center
  • Jenkintown, PA
  • NPI 1003776295
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1770768749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 PEROT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191302525",
            "telephone_number": "215-232-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 PEROT STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19130",
            "telephone_number": "215-232-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHARCENKO",
        "first_name": "ANNA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS007195L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Rae Zacarias, PHARMD
• Christine Zacchei, LCSW
• Zaccone and Petrone PC
• William Zaccone, D.O.
• Eileen J Zacconi, RPH
• Lorena Frieda Zachariades, MT-BC
• Lauren Elaine Zacharias, PA-C
• Millicent G Zacher, D.O.
• Victor Aaron Zachian, M.D.
• Monica Zack, LSW

• Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.