Eleanor Zimmerman, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY003855 Issued in GA

Practice address

12273 US Highway 98 W Ste 204
Miramar Beach, FL 32550-6944

Phone

(850) 558-5750

Fax

(844) 364-1288

NPI assigned

Feb 22, 2015

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Eleanor Zimmerman, Psy.D., PLLC

  • Clinical Neuropsychologist
  • Miramar Beach, FL
  • NPI 1386169563
  NPD Authorized official

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

{
    "created_epoch": "1424563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1245622653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12273 US HIGHWAY 98 W STE 204",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325506944",
            "telephone_number": "850-558-5750",
            "fax_number": "844-364-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12273 US HIGHWAY 98 W STE 204",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325506944",
            "telephone_number": "850-558-5750",
            "fax_number": "844-364-1288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 S Shore Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Miramar Beach",
            "state": "FL",
            "postal_code": "325505821",
            "country_code": "US",
            "telephone_number": "850-558-5750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 Grand Blvd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Miramar Beach",
            "state": "FL",
            "postal_code": "325501897",
            "country_code": "US",
            "telephone_number": "850-558-5750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 Grand Blvd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Miramar Beach",
            "state": "FL",
            "postal_code": "325501897",
            "country_code": "US",
            "telephone_number": "850-558-5750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200 Downwood Cir NW",
            "address_2": "Suite 430",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303271610",
            "country_code": "US",
            "telephone_number": "404-856-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "ELEANOR",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "PSY003855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adam Zimmerman, DC
• Ashleemarie Zito

• Clinical Neuropsychologist in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.