Individual provider Active NPI

Salvatore Zingale, PH.D.

  • Psychologist
  • Clarksville, TN
National Provider Identifier
1043363302
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P1143 Issued in TN
Practice address
130 Hillcrest Dr
Suite 112
Clarksville, TN 37043-5000
Phone
(931) 551-8400
Fax
(931) 358-5805
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P1143 TN Primary

Addresses

Primary practice location

130 Hillcrest Dr
Suite 112
Clarksville, TN 37043-5000

Mailing address

801 Weatherby Dr
Clarksville, TN 37043-2408
Phone (931) 801-5948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043363302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WEATHERBY DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432408",
            "telephone_number": "931-801-5948",
            "fax_number": "931-358-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HILLCREST DR",
            "address_2": "SUITE 112",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435000",
            "telephone_number": "931-551-8400",
            "fax_number": "931-358-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINGALE",
        "first_name": "SALVATORE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P1143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.