Provider Type Icon

DR. ANTHONY A. MAZZARULLI MD NPI 1801090006


NPI Information

NPI: 1801090006
Provider Name: DR. ANTHONY A. MAZZARULLI, MD
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

Organization: CEP AMERICA - PSYCHIATRY PC

PECOS Registration: Yes

Address:
1601 CUMMINS DR STE D
MODESTO, CA
ZIP 95358
Phone: (510) 900-3125
Get Directions

DR. Anthony A. Mazzarulli, MD is a psychiatry psychiatry neurology in Modesto, CA with 20 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DR. Anthony A. Mazzarulli, MD NPI is 1801090006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year:2004

The provider's business location address is:

1601 CUMMINS DR STE D
MODESTO, CA
ZIP 95358-411
Phone: (510) 900-3125

The NPI 1801090006 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 7/20/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyC147508CALIFORNIANo
22084N0400XPsychiatry & NeurologyNeurology2010-02091NORTH CAROLINANo
32084N0400XPsychiatry & NeurologyNeurologyMD180163OREGONNo
42084P0800XPsychiatry & NeurologyPsychiatryM6752TEXASNo
52084P0800XPsychiatry & NeurologyPsychiatry2010-02091NORTH CAROLINANo
62084P0800XPsychiatry & NeurologyPsychiatryC147508CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BP1-0026742OTHERINSTITUTIONAL PERMIT
21801090006MEDICAIDNORTH CAROLINA
3194605502MEDICAIDTEXAS
4NC1329MEDICAIDSOUTH CAROLINA
55916730MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.