ZACKSON PSYCHOLOGY GROUP (NPI# 1255867735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255867735 |
| Entity Type | Organization |
| Organization Name | ZACKSON PSYCHOLOGY GROUP |
| Practice Address |
75 Holly Hill Ln Ste 300 Greenwich CT 06830 |
| Mailing Address |
75 Holly Hill Ln Ste 100 Greenwich CT 06830-2917 |
| Practice Telephone | 2037171666 |
| Mailing Telephone | 6466782357 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2018-06-18 |
| Authorized Official Name | JUDITH ZACKSON (PRESIDENT) |
| Authorized Official Telephone | 2037171666 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 003398 | CT | Behavioral Health & Social Service Providers |
| Street Address |
75 HOLLY HILL LN STE 300 |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669802906 | Judith Zackson | Psychologist | 75 Holly Hill Ln Ste 300, Greenwich, CT 06830 | 2013-11-23 |
| 1972121473 | Harry Loy Anderson | Counselor | 75 Holly Hill Ln Ste 300, Greenwich, CT 06830-2918 | 2020-07-10 |
| 1780178913 | Andrew Spencer Barile | Psychologist | 75 Holly Hill Ln Ste 300, Greenwich, CT 06830-2918 | 2018-06-20 |
| 1235637265 | Daniel Per Villiers | Counselor | 75 Holly Hill Ln Ste 300, Greenwich, CT 06830-2918 | 2018-01-24 |
| 1710406699 | Greenwich Anxiety Institute LLC | Clinic/Center | 75 Holly Hill Ln Ste 300, Greenwich, CT 06830-2918 | 2017-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303341 | Cristina Castagna | Physical Therapist | 500 West Putnam Ave, 3rd Floor, Greenwich, CT 06830 | 2020-10-16 |
| 1194334334 | Cognitive and Behavioral Care Center, LLC | Counselor | 55 Old Post Road #2, Suite 2c, Greenwich, CT 06830 | 2020-07-23 |
| 1245866433 | Barbara Edeson Roth | Speech-Language Pathologist | The Nathaniel Witherell Home, 70 Parsonage Road, Greenwich, CT 06830 | 2020-03-19 |
| 1750938932 | Evelyn Ramos | Licensed Practical Nurse | 111 Wilbur Peck Ct, Greenwich, CT 06830 | 2019-08-21 |
| 1134773674 | Alexandra Blair Conway | Psychologist | 55 Holly Hill Lane Suite 170, Greenwich, CT 06830 | 2019-08-01 |
| 1821560871 | Brionna Emily Lyles | Licensed Practical Nurse | 111 Wilbur Court, Greenwich, CT 06830 | 2018-12-31 |
| 1568959815 | Backcountry Wellness Inc. | Social Worker | 7 Lincoln Avenue, Greenwich, CT 06830 | 2018-04-21 |
| 1316455876 | Hillary Rea Bercovici | Counselor | 8 Sound Shore Dr Ste 130, Greenwich, CT 06830 | 2018-01-18 |
| 1689181083 | Coastal Eye Surgeons LLC | Ophthalmology | 600 W Putnam Ave Lowr Level, Greenwich, CT 06830 | 2018-01-07 |
| 1952853814 | Tina M. Crystal | Psychologist | 75 Holly Hill Lane, Suite 300, Greenwich, CT 06830 | 2016-10-26 |
| Find all providers in zip 06830 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538621859 | Cathryn Patricola Vasey Phd P.C. | Psychologist | 100 Melrose Ave Ste 100, Greenwich, CT 06830-6277 | 2019-04-04 |
| 1467773226 | Caprice Warchol | Psychologist | 7 Riversville Rd Ste 2a, Greenwich, CT 06831-3684 | 2010-06-16 |
| 1649813387 | Alison Emel | Psychologist | 55 Old Post Rd No 2 Ste 2c, Greenwich, CT 06830-6200 | 2019-10-25 |
| 1225587041 | Bryan Violette | Psychologist | 179 Hamilton Ave, Greenwich, CT 06830-6672 | 2016-09-22 |
| 1437501087 | Natalie Richton | Psychologist | 7 Lincoln Ave, Greenwich, CT 06830-5749 | 2016-07-07 |
| 1437579406 | Gregory Bottaro | Psychologist | 179 Hamilton Ave, Greenwich, CT 06830 | 2014-04-17 |
| 1114207883 | Mitchell Dickey | Psychologist | 32 Field Point Rd, Greenwich, CT 06830-5338 | 2011-08-25 |
| 1063684074 | Elisa Mambrino | Psychologist | 500 W Putnam Ave, Greenwich, CT 06830-6086 | 2008-03-31 |
| 1649495904 | Susan Freedland | Psychologist | 100 Melrose Ave, Suite 103, Greenwich, CT 06830-6257 | 2007-04-13 |
| 1902993835 | Jill T Silverman | Psychologist | 239 Glenville Rd, Greenwich, CT 06831-4172 | 2006-10-10 |
| Find all providers in GREENWICH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.