Individual provider Active NPI

Cara Zuccarelli Eggers, PH.D.

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1821148388
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20543 Issued in CA
Practice address
3110 Camino del Rio S
San Diego, CA 92108-3812
Phone
(559) 361-7105
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20543 CA Primary

Addresses

Primary practice location

3110 Camino del Rio S
San Diego, CA 92108-3812

Mailing address

3110 Camino del Rio S
San Diego, CA 92108-3812
Phone (559) 361-7105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171121002799 VA Practitioner - Psychiatry 8123110855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Norfolk Psychiactric Associates PCGroup PAC ID 7618907551, 13 clinicians

Practice addresses (Care Compare)

6353 Ctr Dr
Suite 204
Norfolk, VA 23502-0001
Phone (757) 461-3313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20543CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Behavior Therapy Center CurrentSince May 9, 2021 Accepting new patients
Norfolk Psychiactric Associates PC CurrentSince Sep 25, 2019 Accepting new patients

Locations

1403 Greenbrier Pkwy
Ste 215
Chesapeake, VA 23320
Phone (757) 410-0700

6353 Center Dr
Ste 204
Norfolk, VA 23502
Phone (757) 461-3313

Organizations & group practices 2

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1821148388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 CAMINO DEL RIO S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083812",
            "telephone_number": "559-361-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 CAMINO DEL RIO S",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083812",
            "telephone_number": "559-361-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGERS",
        "first_name": "CARA",
        "middle_name": "ZUCCARELLI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "20543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.