Provider Demographics
NPI:1265541122
Name:ROSENLICHT, NICHOLAS ZINGARELLI (MD)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:ZINGARELLI
Last Name:ROSENLICHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1569 SOLANO AVE # 324
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-2116
Mailing Address - Country:US
Mailing Address - Phone:510-558-3488
Mailing Address - Fax:855-558-3489
Practice Address - Street 1:1569 SOLANO AVE # 324
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94707-2116
Practice Address - Country:US
Practice Address - Phone:510-558-3488
Practice Address - Fax:855-558-3489
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA418912084A0401X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine