Active NPI
Nancy Panganamala-Zinnbauer, PSYD
- Clinical Psychologist
- Cincinnati, OH
National Provider Identifier
1003995655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- OH5620
- Practice address
- 9403 Kenwood Road
Suite D112
Cincinnati, OH 45242-6820 - Phone
- (513) 793-3900
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | OH5620 | OH | Primary |
Addresses
Primary practice location
9403 Kenwood Road
Suite D112
Cincinnati, OH 45242-6820
Mailing address
9403 Kenwood Road
Suite D112
Cincinnati, OH 45242-6820
Phone (513) 860-0801
Other names 1
- Dr. Nancy Rao Panganamala
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective May 23, 2016 through May 23, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OH5620 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003995655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9403 KENWOOD ROAD",
"address_2": "SUITE D112",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452426820",
"telephone_number": "513-860-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9403 KENWOOD ROAD",
"address_2": "SUITE D112",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452426820",
"telephone_number": "513-793-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANGANAMALA-ZINNBAUER",
"first_name": "NANCY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "OH5620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "PANGANAMALA",
"middle_name": "RAO",
"prefix": "DR.",
"credential": "PSYD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.