Active NPI
Michael Zatkowsky, PSY.D.
- Clinical Psychologist
- Scottsdale, AZ
National Provider Identifier
1902037302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- AZ1514
- Practice address
- 11270 N. 129 Way
Scottsdale, AZ 85259-4403 - Phone
- (480) 451-4000
- Fax
- (480) 451-3635
- NPI assigned
- Aug 3, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | AZ1514 | AZ | Primary |
Addresses
Primary practice location
11270 N. 129 Way
Scottsdale, AZ 85259-4403
Mailing address
11270 N. 129 Way
Scottsdale, AZ 85259-4403
Phone (480) 451-4000
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 Mar 26, 2017 through Mar 26, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ1514 | AZ | MD | Clinical Psychologist |
| 1514 | AZ | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249257600000",
"number": "1902037302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11270 N. 129 WAY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852594403",
"telephone_number": "480-451-4000",
"fax_number": "480-451-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11270 N. 129 WAY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852594403",
"telephone_number": "480-451-4000",
"fax_number": "480-451-3635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZATKOWSKY",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-03",
"last_updated": "2009-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "AZ1514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; 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.