Individual provider Active NPI

Gina Marie Zali, PSY D., OTR/L

  • Clinical Neuropsychologist
  • Williamsville, NY
National Provider Identifier
1770862807
Registry record updated Apr 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
021233 Issued in NY
Practice address
5820 Main St Ste 406
Williamsville, NY 14221-5734
Phone
(716) 202-2210
Fax
(716) 720-2071
NPI assigned
Aug 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health Psychologist 103TH0004X 021233 NY
Psychologist 103T00000X 021233 NY
Rehabilitation Psychologist 103TR0400X 021233 NY
Clinical Neuropsychologist 103G00000X 021233 NY Primary

Addresses

Primary practice location

5820 Main St Ste 406
Williamsville, NY 14221-5734

Mailing address

5820 Main St Ste 406
Williamsville, NY 14221-5734
Phone (716) 202-2210

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
021233NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Becker-Weidman, CSW, P.C. Mental Health CurrentSince Jan 28, 2022 Accepting new patients

Locations

5820 Main St
Ste 406
Williamsville, NY 14221
Phone (716) 202-2210

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": "1312675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650672000000",
    "number": "1770862807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 MAIN ST STE 406",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215734",
            "telephone_number": "716-202-2210",
            "fax_number": "716-720-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 MAIN ST STE 406",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215734",
            "telephone_number": "716-202-2210",
            "fax_number": "716-720-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZALI",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY D., OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-07",
        "last_updated": "2022-04-23",
        "certification_date": "2022-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NY",
            "license": "021233",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "021233",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "NY",
            "license": "021233",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "021233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.