Individual provider Active NPI

Mara Zotta, PSYD

  • Clinical Psychologist
  • Ramsey, NJ
National Provider Identifier
1952486128
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00530200 Issued in NJ
Practice address
145 N Franklin Tpke Ste 324
Ramsey, NJ 07446-1601
Phone
(551) 206-9368
NPI assigned
Oct 26, 2006
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 016846-1 NY
Clinical Psychologist 103TC0700X 35SI00530200 NJ Primary

Addresses

Primary practice location

145 N Franklin Tpke Ste 324
Ramsey, NJ 07446-1601

Mailing address

128 Village Cir W
Paramus, NJ 07652-5322
Phone (551) 206-9368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110928000119 NY Practitioner - Clinical Psychologist 5496926271 Practice locations: New York, NY
I20210715000540 NJ Practitioner - Clinical Psychologist 5496926271 Practice locations: Ramsey, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

48 S Franklin Tpke
Suite 201
Ramsey, NJ 07446-2558
Phone (551) 206-9368

96 5TH Ave
Apt 1K
New York, NY 10011-7604
Phone (551) 206-9368

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016846-1NYMDPsychologist
35SI00530200NJMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1952486128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 VILLAGE CIR W",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525322",
            "telephone_number": "551-206-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N FRANKLIN TPKE STE 324",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461601",
            "telephone_number": "551-206-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOTTA",
        "first_name": "MARA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016846-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00530200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ramsey, NJ

Sources for this page

Verify at the official NPI Registry.