Organization Active NPI

Marian R. Zimmerman PH.D., PA

  • Clinical Psychologist
  • Frisco, TX
National Provider Identifier
1134562341
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
16829 Issued in TX
Legal business name
MARIAN R. ZIMMERMAN PH.D., PA
Practice address
3550 Parkwood Blvd
Suite 306
Frisco, TX 75034-1903
Phone
(214) 618-1451
NPI assigned
Apr 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Authorized official

Name
Dr. Marian R Zimmerman, PH.D.
Title
Psychologist
Phone
(241) 618-1451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 16829 TX Primary

Addresses

Primary practice location

3550 Parkwood Blvd
Suite 306
Frisco, TX 75034-1903

Mailing address

3550 Parkwood Blvd
Suite 306
Frisco, TX 75034-1903
Phone (214) 618-1451

National Provider Directory

National Provider Directory

Locations

3550 Parkwood Blvd
Ste 306
Frisco, TX 75034
Phone (214) 618-1451

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369872000000",
    "number": "1134562341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 PARKWOOD BLVD",
            "address_2": "SUITE 306",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341903",
            "telephone_number": "214-618-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 PARKWOOD BLVD",
            "address_2": "SUITE 306",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341903",
            "telephone_number": "214-618-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIAN R. ZIMMERMAN PH.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-05-30",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "241-618-1451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "16829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.