DR. ZACHARY FETTERMAN PHD
NPI 1487052486
Psychologist - Clinical in Usaf Academy, CO

Q: What is Zachary Fetterman's NPI number?

The NPI number for Zachary Fetterman is 1487052486. It was assigned to this individual provider in the NPPES registry on December 8, 2014.

Q: What is Zachary Fetterman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Zachary Fetterman was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 08, 2014

10 MEDICAL GROUP, 4102 PINION DRIVE, USAF ACADEMY, CO 80840(719) 333-5177 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2023, Aug 6, 2020, Jul 9, 2018 (3 updates tracked since 2018).

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About Dr. Zachary Fetterman Phd NPPES

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

DR. ZACHARY FETTERMAN PHD (NPI 1487052486) is an individual clinical provider in Usaf Academy, Colorado, licensed in Utah (10404713-2501) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1487052486

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ZACHARY FETTERMANCredential: PHD

Location Address10 MEDICAL GROUP, 4102 PINION DRIVEUsaf Academy, CO 80840

Mailing Address10th Medical Group, 4102 Pinion DriveUsaf Academy, CO 80840 · (179) 333-5177

Phone(719) 333-5177

Sole ProprietorNo

Enumeration DateDecember 8, 2014

Last NPPES UpdateNovember 1, 20233 updates tracked since enumeration

NPPES CertifiedOctober 31, 2023

✔ NPI 1487052486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in UT · 10404713-2501

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

10 MEDICAL GROUP, Usaf Academy, CO 80840

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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 Zachary Fetterman's NPI number?

The NPI number for Zachary Fetterman is 1487052486. It was assigned to this individual provider in the NPPES registry on December 8, 2014.

Where is Zachary Fetterman located?

Zachary Fetterman practices at 10 Medical Group 4102 Pinion Drive, Usaf Academy, CO 80840. The listed phone number is (719) 333-5177.

What is Zachary Fetterman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Zachary Fetterman was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.