Organization Active NPI

Dr Demarco Zuckerbraun Consulting LLC

  • Clinical Psychologist
  • New London, CT
National Provider Identifier
1851110563
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR DEMARCO ZUCKERBRAUN CONSULTING LLC
Practice address
75 Granite St Ste 2C
New London, CT 06320-5771
Phone
(860) 581-0161
NPI assigned
Oct 9, 2024
Last updated
Oct 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Gail Demarco Zuckerbraun, PHD
Title
Owner
Phone
(860) 581-0161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

75 Granite St Ste 2C
New London, CT 06320-5771

Mailing address

14 Ridgewood Rd
Niantic, CT 06357-2214
Phone (860) 581-0161

National Provider Directory

National Provider Directory

Locations

75 Granite St
Ste 2C
New London, CT 06320
Phone (860) 581-0161

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1851110563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RIDGEWOOD RD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063572214",
            "telephone_number": "860-581-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GRANITE ST STE 2C",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205771",
            "telephone_number": "860-581-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DEMARCO ZUCKERBRAUN CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "DEMARCO ZUCKERBRAUN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-581-0161",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.