Lance Y Zimmerman, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27555 Issued in CA

Practice address

4126 S Demaree St
Visalia
Visalia, CA 93277-9514

Phone

(559) 393-7465

Fax

(559) 754-2107

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prime Mental Health Center

  • Clinical Social Worker
  • Fresno, CA
  • NPI 1386097491
  NPD (past) Authorized official
• Veterans Counseling Clinic

  • Point of Service
  • Visalia, CA
  • NPI 1578066643
  NPD (past) Authorized official

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1104861152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 S DEMAREE ST STE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779550",
            "telephone_number": "559-393-7465",
            "fax_number": "559-754-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 S DEMAREE ST",
            "address_2": "VISALIA",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779514",
            "telephone_number": "559-393-7465",
            "fax_number": "559-754-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "LANCE",
        "middle_name": "Y",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1255331005",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495299919",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lu Zhao, D.O.
• Yin Zhou
• Kelsea Ziegler, PHARMD
• Dominique Zigo, DPT
• Kyra Zimmerman
• Marwan Zoghbi, MD
• Zohreh Saadabadi MD PC
• Ellie Jeanette Zuiderveld, DDS
• Rebecca Ann Zulim, M.D.
• Kimberly Zuniga Saldana, MS

• Clinical Psychologist in Visalia, CA
• Providers in Visalia, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.