Active NPI
Rachel Zuch Haddad, PSY.D.
- Psychologist
- New York, NY
National Provider Identifier
1790125201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 019782
- Practice address
- 328 E 62ND St
New York, NY 10065-8206 - Phone
- (212) 752-7575
- NPI assigned
- Jun 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 019782 | NY | Primary |
Addresses
Primary practice location
328 E 62ND St
New York, NY 10065-8206
Mailing address
165 W 66TH St
Apt 10X
New York, NY 10023-6508
Phone (914) 980-7307
Other names 1
- Rachel Andrea Zuch
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
- Opted out of Medicare
- Yes, effective Apr 19, 2016 through Apr 19, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019782 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402012800000",
"number": "1790125201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 W 66TH ST",
"address_2": "APT 10X",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236508",
"telephone_number": "914-980-7307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 E 62ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100658206",
"telephone_number": "212-752-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDAD",
"first_name": "RACHEL",
"middle_name": "ZUCH",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-28",
"last_updated": "2014-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "019782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "ZUCH",
"middle_name": "ANDREA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.