Rose Zayco, Psy.D. Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY 8136 Issued in FL

Legal business name

ROSE ZAYCO, PSY.D. INC.

Practice address

2523 Herschel St
Jacksonville, FL 32204

Phone

(904) 351-8136

Fax

(888) 972-6788

NPI assigned

Sep 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Rose Zayco, PSY.D.NPI 1649585720

Title

Licensed Psychologist

Phone

(904) 351-8136

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rose Zayco, PSY.D.

  • Clinical Psychologist
  • Jacksonville, FL
  • NPI 1649585720
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1982911780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 HERSCHEL ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044509",
            "telephone_number": "904-351-8136",
            "fax_number": "888-972-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 HERSCHEL ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32204",
            "telephone_number": "904-351-8136",
            "fax_number": "888-972-6788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4210 Valley Ridge Blvd Ste 145",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320815184",
            "country_code": "US",
            "telephone_number": "904-351-8136",
            "fax_number": "888-972-6788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROSE ZAYCO, PSY.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "ZAYCO",
        "authorized_official_first_name": "ROSE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "904-351-8136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY 8136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikaela Rentoy Rosas
• Xsyvier T Rosas
• Robert Allen Roscoe, FNP-BC
• Rose RX LLC
• Rose Senior Care
• Alexander Tuan Rose, M.D.
• Bruce Irwin Rose, PHD, MD
• Elizabeth Jordan Rose, OTR/L
• Kate Rose, RBT
• Lauren Rose, CAA

• Clinical Psychologist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.