Stefan Richard Zicht, PSY.D.

Primary specialty

Psychoanalysis PsychologistTaxonomy code 103TP0814X

License

012961 Issued in NY

Practice address

381 W End Ave
New York, NY 10024-6104

Phone

(212) 580-7262

NPI assigned

Apr 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2019 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1982824835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 W END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246104",
            "telephone_number": "212-580-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 W END AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246104",
            "telephone_number": "212-580-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZICHT",
        "first_name": "STEFAN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012961",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "012961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Joseph Zicarelli, DDS
• Elaine Marie Zicchinolfi-Leinung, FNP,DNP
• Rachel Zicherman
• Gloria Zicht, LCSW
• Meredith Zicht
• Sameera Zickria, DPT
• Barry M. Zide, M.D., D.M.D.
• Ellen Daniels Zide, ED.D.
• Jordan Zide, PT, DPT
• Michal Zidon, MD

• Psychoanalysis Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychoanalysis Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.

Verify at the official NPI Registry.