Individual provider Active NPI

DJ Zolman Jr.

  • Marriage & Family Therapist
  • Ogden, UT
National Provider Identifier
1215320924
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
3340 Harrison Blvd
Ogden, UT 84403-1200
Phone
(801) 393-3113
NPI assigned
Mar 5, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

3340 Harrison Blvd
Ogden, UT 84403-1200

Mailing address

3340 Harrison Blvd
Ogden, UT 84403-1200
Phone (801) 393-3113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20240116004065 UT Practitioner - Marriage and Family Therapist 3173975083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2276 E Riverside Dr
St George, UT 84790-2636
Phone (435) 986-2565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Utah Community Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Southwest Utah Community Health Center CurrentSince Jan 1, 2024 Accepting new patients
Southwest Utah Community Health Center Current Accepting new patients
Southwest Utah Community Health Center Past Accepting new patients

Locations

74 W Harding Ave
Cedar City, UT 84720
Phone (435) 865-1387

245 E 680 S
Cedar City, UT 84720
Phone (435) 867-7654

391 N 200 W
Hurricane, UT 84737
Phone (435) 359-9525

2276 E Riverside Dr
St George, UT 84790
Phone (435) 986-2565

168 N 100 E
Ste 101
St George, UT 84770
Phone (435) 986-2565

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1215320924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031200",
            "telephone_number": "801-393-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 HARRISON BLVD",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031200",
            "telephone_number": "801-393-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLMAN",
        "first_name": "DJ",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.