Individual provider Active NPI

Alexandra Meredith Zimbleman, PSY.D.

  • Clinical Psychologist
  • Ocala, FL
National Provider Identifier
1255915641
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY9340 Issued in FL
Practice address
7256 SW 63Rd St
Ocala, FL 34474-2002
Phone
(352) 425-4280
Fax
(352) 540-7229
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY9340 FL Primary

Addresses

Primary practice location

7256 SW 63Rd St
Ocala, FL 34474-2002

Mailing address

7256 SW 63Rd St
Ocala, FL 34474-2002
Phone (717) 756-2115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY9340FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Psychology LLC CurrentSince Jan 14, 2024 Accepting new patients

Organizations & group practices 1

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1255915641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7256 SW 63RD ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344742002",
            "telephone_number": "717-756-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7256 SW 63RD ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344742002",
            "telephone_number": "352-425-4280",
            "fax_number": "352-540-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMBLEMAN",
        "first_name": "ALEXANDRA",
        "middle_name": "MEREDITH",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.