Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Santos Gustavo Zelaya III

Individual provider Mental Health Counselor · NPI 1720647530

Santos Gustavo Zelaya III is a Mental Health Counselor in Brooklyn, New York. Qualified in 2017, 9 years ago. Practices with Interborough Developmental and Consultation Center Inc, a 152-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2019
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Practice location Address checks out

1623 Kings Hwy
Brooklyn, NY 11229
Phone: (929) 273-7601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0

Record details

NPI number1720647530
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 6, 2019
Last updated in NPPESJune 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Interborough Developmental And Consultation Center Inc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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