Individual provider Active NPI

Marc Todd Zucker, PSY.D

  • Clinical Psychologist
  • Las Vegas, NV
National Provider Identifier
1841485836
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0530 Issued in NV
Practice address
9510 W Sahara Ave Ste 110
Las Vegas, NV 89117-8804
Phone
(702) 641-2422
Fax
(702) 893-9655
NPI assigned
Sep 12, 2007
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X 0530 NV
Clinical Psychologist 103TC0700X 0530 NV Primary

Addresses

Primary practice location

9510 W Sahara Ave Ste 110
Las Vegas, NV 89117-8804

Mailing address

9510 W Sahara Ave Ste 110
Las Vegas, NV 89117-8804
Phone (702) 641-2422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0530NVMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Zucker & Associates Clinical CurrentSince Sep 24, 2023 Accepting new patients

Locations

9510 W Sahara Ave
Ste 110
Las Vegas, NV 89117
Phone (702) 641-2422

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1841485836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9510 W SAHARA AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178804",
            "telephone_number": "702-641-2422",
            "fax_number": "702-893-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9510 W SAHARA AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891178804",
            "telephone_number": "702-641-2422",
            "fax_number": "702-893-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCKER",
        "first_name": "MARC",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-12",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NV",
            "license": "0530",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "0530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.