Jennifer Sepulveda Zizzo, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY30364 Issued in CA

Practice address

516 W Shaw Ave Ste 200
Fresno, CA 93704-2515

Phone

(559) 632-0021

NPI assigned

Feb 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1295159945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W SHAW AVE STE 200",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042515",
            "telephone_number": "559-632-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W SHAW AVE STE 200",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042515",
            "telephone_number": "559-632-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIZZO",
        "first_name": "JENNIFER",
        "middle_name": "SEPULVEDA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-14",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY30364",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin R Zimmerman
• Khin Moh Moh Zin, M.D.
• Samuel Zingale
• Evany D. Zirul, DO
• Latif Ziyar, M.D.
• ZLZR Corporation
• ZND Residential Inc.
• ZNZ Ventures LLC
• Shayan Zoghi, DO
• Hamidreza Zohoorkari

• Psychologist in Fresno, CA
• Providers in Fresno, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.