Ellie Zacks, PHD Clinical Psychologist, Apc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY10426 Issued in CA

Legal business name

ELLIE ZACKS, PHD CLINICAL PSYCHOLOGIST, APC

Practice address

9700 Fair Oaks Blvd
Suite D
Fair Oaks, CA 95628-7079

Phone

(916) 863-1790

NPI assigned

May 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ellie Zacks

Title

President

Phone

(916) 863-1790

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Andrew Poon, M.D.

  • Emergency Medicine Physician
  • Torrance, CA
  • NPI 1538390448
  NPD (past)
• Eleanor Zacks

  • Clinical Psychologist
  • Fair Oaks, CA
  • NPI 1316973993
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821048067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 FAIR OAKS BLVD",
            "address_2": "SUITE D",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287079",
            "telephone_number": "916-863-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 FAIR OAKS BLVD",
            "address_2": "SUITE D",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287079",
            "telephone_number": "916-863-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIE ZACKS, PHD CLINICAL PSYCHOLOGIST, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZACKS",
        "authorized_official_first_name": "ELLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-863-1790",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY10426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chukwuemeka N Ekwuru, RN
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• Elisabeth S Swan Optometry Inc
• Julissa Elizondo
• Elaine Amanda Ellers, LCSW
• Elliott Eisenbud, MD Inc.
• Nancy Ellis-Cawley, L.C.S.W.
• Debra Ellis
• Elsie H Huang MD Inc
• Daniela Enriquez Morales

• Psychologist in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.