NPIMap

Organization Active NPI

William B. Zuckerman, PHD, PC

  • Adult Mental Health Clinic/Center
  • Burke, VA
National Provider Identifier
1275080772
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
0810001150 Issued in VA
Legal business name
WILLIAM B. ZUCKERMAN, PHD, PC
Practice address
8987 Cotswold Dr
Burke, VA 22015-1601
Phone
(703) 764-0700
Fax
(703) 764-3068
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Dr. Williamj Bernard Zuckerman, PHD
Title
Clinical Psychologist
Phone
(703) 764-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 0810001150 VA Primary

Addresses

Primary practice location

8987 Cotswold Dr
Burke, VA 22015-1601

Mailing address

8987 Cotswold Dr
Burke, VA 22015-1601
Phone (703) 764-0700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1275080772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8987 COTSWOLD DR",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151601",
            "telephone_number": "703-764-0700",
            "fax_number": "703-764-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8987 COTSWOLD DR",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151601",
            "telephone_number": "703-764-0700",
            "fax_number": "703-764-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM B. ZUCKERMAN, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "ZUCKERMAN",
        "authorized_official_first_name": "WILLIAMJ",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "703-764-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "0810001150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.