Provider Demographics
NPI:1861406811
Name:ZAGER, KAREN (PHD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:ZAGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:M
Other - Last Name:ZAGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:112 HEATH PL
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-3609
Mailing Address - Country:US
Mailing Address - Phone:914-478-4658
Mailing Address - Fax:914-478-7454
Practice Address - Street 1:112 HEATH PL
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-3609
Practice Address - Country:US
Practice Address - Phone:914-478-4658
Practice Address - Fax:914-819-0239
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6809103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY179683Medicare UPIN
NY6176833Medicare UPIN
NYV48901Medicare ID - Type UnspecifiedPSYCHOLOGIST
NY0023320Medicare UPIN
NY039055Medicare UPIN
NYP532099Medicare UPIN
NYV48902Medicare ID - Type UnspecifiedPSYCHOLOGIST