Healthcare Provider Details

I. General information

NPI: 1043097579
Provider Name (Legal Business Name): ZACCARIO TRAMONTANA, PHD, A PSYCHOLOGY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2023
Last Update Date: 09/08/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 W OJAI AVE STE 101-238
OJAI CA
93023-3277
US

IV. Provider business mailing address

1401 MEADOWBROOK RD
OJAI CA
93023-1919
US

V. Phone/Fax

Practice location:
  • Phone: 760-498-8491
  • Fax:
Mailing address:
  • Phone: 760-498-8491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ZACCARIO MICHELI TRAMONTANA
Title or Position: CEO
Credential: PHD
Phone: 760-498-8491