Michelle M Zuccarini, R.N. APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

SP019495 Issued in PA

Practice address

3800 Sierra Cir Ste 210
Center Valley, PA 18034-8476

Phone

(610) 892-3800

Fax

(484) 468-1412

NPI assigned

Dec 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.michellezuccarini@141748.advancedmd-direct.com

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.

• Mente Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wind Gap, PA
  • NPI 1841962941
  NPD Authorized official
• Delaware County Professional Services, Inc

  dba LifeStance

  • Psychiatry Physician
  • Media, PA
  • NPI 1952485864
  NPD

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1962686519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S FAIRVIEW AVE",
            "city": "WIND GAP",
            "state": "PA",
            "postal_code": "180911416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SIERRA CIR STE 210",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348476",
            "telephone_number": "610-892-3800",
            "fax_number": "484-468-1412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Fairview Ave",
            "address_purpose": "LOCATION",
            "city": "Wind Gap",
            "state": "PA",
            "postal_code": "180911416",
            "country_code": "US",
            "telephone_number": "610-863-3955",
            "fax_number": "610-863-8571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "37 Sunset Inn Rd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "NJ",
            "postal_code": "078482214",
            "country_code": "US",
            "telephone_number": "973-862-4820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZUCCARINI",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "R.N. APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00872400",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP019495",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN269163L",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404151",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• You'Ve Got This: ABA Solutions LLC
• Jacob Young, DPT
• Thomas E Young, M.D.
• Tracy Lynne Young
• Sylva Zelena

• Psychiatric/Mental Health Nurse Practitioner in Center Valley, PA
• Providers in Center Valley, PA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.