Tammy Lynn Zimmel, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2225-057 Issued in WI

Practice address

3701 Durand Ave
Suite 325
Racine, WI 53405-4458

Phone

(262) 554-9846

Fax

(262) 598-9032

NPI assigned

Dec 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Dr Tammy Zimmel LLC

  • Psychologist
  • Mount Pleasant, WI
  • NPI 1972940799
  Medicare reassignment NPD
• Donald M. Jacobson, MD SC

  • Psychiatry Physician
  • Racine, WI
  • NPI 1043514391
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134288392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 N GREEN BAY RD",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534063501",
            "telephone_number": "262-636-9920",
            "fax_number": "262-598-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 DURAND AVE",
            "address_2": "SUITE 325",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534054458",
            "telephone_number": "262-554-9846",
            "fax_number": "262-598-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMEL",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2225-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Zalokar, LCSW
• Antoinette Marie Zell, M.D.
• Jeffrey George Zeller, D.D.S.
• Cammi May Zemke
• Kayla Zeno, LAT
• Meghan Zimmer, OT
• Zimmerman Consulting Inc
• Mary Rita Zlevor, R.N.
• Adelaide Zweifel

• Clinical Psychologist in Racine, WI
• Providers in Racine, WI by specialty
• Clinical Psychologist in Wisconsin

• 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.
• 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.