Provider Demographics
NPI:1225041007
Name:ERIC ZIEFF, PSY.D. LLC
Entity Type:Organization
Organization Name:ERIC ZIEFF, PSY.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIEFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-246-8400
Mailing Address - Street 1:599 NORTH AVE # 8
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-1648
Mailing Address - Country:US
Mailing Address - Phone:781-246-8400
Mailing Address - Fax:781-246-2955
Practice Address - Street 1:599 NORTH AVE # 8
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-1648
Practice Address - Country:US
Practice Address - Phone:781-246-8400
Practice Address - Fax:781-246-2955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7192103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1547390890Medicare UPIN