NPIMap

Organization Active NPI

Kelly Zinna, Psy.D.

  • Community/Behavioral Health Agency
  • Gaithersburg, MD
National Provider Identifier
1144602798
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
03888 Issued in MD
Legal business name
KELLY ZINNA, PSY.D.
Practice address
4 Professional Dr
Suite 110
Gaithersburg, MD 20879-3407
Phone
(240) 447-4454
NPI assigned
Jun 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Dr. Kelly Zinna, PSY.D.
Title
Psychologist
Phone
(240) 447-4454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 03888 MD Primary

Addresses

Primary practice location

4 Professional Dr
Suite 110
Gaithersburg, MD 20879-3407

Mailing address

4 Professional Dr
Suite 110
Gaithersburg, MD 20879-3407
Phone (240) 447-4454

National Provider Directory

National Provider Directory

Locations

4 Professional Dr
Ste 110
Gaithersburg, MD 20879
Phone (240) 447-4454

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1144602798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PROFESSIONAL DR",
            "address_2": "SUITE 110",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793407",
            "telephone_number": "240-447-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PROFESSIONAL DR",
            "address_2": "SUITE 110",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793407",
            "telephone_number": "240-447-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY ZINNA, PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "ZINNA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "240-447-4454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "03888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.