DR. KELLY ZANETICH PHD
NPI 1184051690
Psychologist in New York, NY

Active since September 28, 2013Opted out of Medicare · through Jan 1, 2027
25 CENTRAL PARK W, 1L, NEW YORK, NY 10023(201) 777-0596 Get Directions Write a Review

NPPES record last updated: September 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kelly Zanetich Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY ZANETICH PHD (NPI 1184051690) is an individual psychologist in New York, New York, licensed in New York (020280) and active in the NPI registry since September 2013. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184051690
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KELLY ZANETICHCredential: PHD
Location Address25 CENTRAL PARK W, 1LNew York, NY 10023-7253
Mailing Address1110 Garden StHoboken, NJ 07030-4305
Sole ProprietorYes
Enumeration DateSeptember 28, 2013
NPI 1184051690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 020280
Definition

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.

25 CENTRAL PARK W, New York, NY 10023

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Kelly Zanetich Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
25 CENTRAL PARK W, SUITE 1U
NEW YORK, NY 10023
Dentist (General Practice)
25 CENTRAL PARK W, SUITE 1Y
NEW YORK, NY 10023
Social Worker (Clinical)
25 CENTRAL PARK W, SUITE I
NEW YORK, NY 10023
Psychologist
25 CENTRAL PARK W, SUITE 1-I
NEW YORK, NY 10023
Dentist (General Practice)
25 CENTRAL PARK W, SUITE 1Y
NEW YORK, NY 10023
Podiatrist (Foot & Ankle Surgery)
25 CENTRAL PARK W, SUITE 1R
NEW YORK, NY 10023
Nutritionist (Nutrition, Education)
25 CENTRAL PARK W, STE. 1 F
NEW YORK, NY 10023
Psychologist (Clinical)
25 CENTRAL PARK W, SUITE 1-I
NEW YORK, NY 10023

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Zanetich's NPI number?

The NPI number for Kelly Zanetich is 1184051690. It was assigned to this individual provider in the NPPES registry on September 28, 2013.

Where is Kelly Zanetich located?

Kelly Zanetich practices at 25 Central Park W 1L, New York, NY 10023. The listed phone number is (201) 777-0596.

What is Kelly Zanetich's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Kelly Zanetich enrolled in Medicare?

No. Kelly Zanetich has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kelly Zanetich was last updated on September 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.