Organization Active NPI

Heather a Zak PHD PC

  • Psychologist
  • Lansing, MI
National Provider Identifier
1285907121
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4398970 Issued in MI
Legal business name
HEATHER A ZAK PHD PC
Practice address
302 S Waverly Rd
Suite 3
Lansing, MI 48917-3631
Phone
(517) 327-7400
Fax
(517) 327-3915
NPI assigned
Feb 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Dr. Heather ZakNPI 1649361510
Title
Owner
Phone
(517) 327-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 4398970 MI Primary

Addresses

Primary practice location

302 S Waverly Rd
Suite 3
Lansing, MI 48917-3631

Mailing address

302 S Waverly Rd
Suite 3
Lansing, MI 48917-3631
Phone (517) 327-7400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120503000441 MI Part B Supplier - Clinic/Group Practice 7416119649 Receives reassigned benefits from 1 practitioner
Practice locations: East Lansing, MI

National Provider Directory

National Provider Directory

Locations

724 Abbot Rd
East Lansing, MI 48823
Phone (517) 327-7400

302 S Waverly Rd
Ste 3
Lansing, MI 48917
Phone (517) 327-7400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1285907121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S WAVERLY RD",
            "address_2": "SUITE 3",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173631",
            "telephone_number": "517-327-7400",
            "fax_number": "517-327-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S WAVERLY RD",
            "address_2": "SUITE 3",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489173631",
            "telephone_number": "517-327-7400",
            "fax_number": "517-327-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER A ZAK PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "ZAK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-327-7400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "4398970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.