Active NPI
Marilyn Ann Zegman, PHD
- Psychologist
- Framingham, MA
National Provider Identifier
1336200195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3728
- Practice address
- 106 Angelica Dr
Framingham, MA 01701-3641 - Phone
- (508) 626-0568
- Fax
- (508) 626-2750
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3728 | MA | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | 3728 | MA | |
| Clinical Psychologist | 103TC0700X | 3728 | MA | |
| Health Psychologist | 103TH0004X | 3728 | MA |
Addresses
Primary practice location
106 Angelica Dr
Framingham, MA 01701-3641
Mailing address
1253 Worcester Rd
Suite 202
Framingham, MA 01701-5208
Phone (508) 626-0568
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W10407 | Other | MA | BLUE CROSS SHIELD |
| 0000031028 | Other | MANAGED HEALTH NETWORK | |
| 05153000 | Other | MAGELLAN | |
| 181987 | Other | VALUE OPTIONS | |
| 008239 | Other | MA | HARVARD PILGRIM HEALTH CA |
| W03828 | Other | MA | BLUE CROSS SHIELD |
| 1041432 | Other | CIGNA | |
| 735669 | Other | MA | TUFTS HEALTH PLAN |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3728 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1336200195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1253 WORCESTER RD",
"address_2": "SUITE 202",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017015208",
"telephone_number": "508-626-0568",
"fax_number": "508-626-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 ANGELICA DR",
"city": "FRAMINGHAM",
"state": "MA",
"postal_code": "017013641",
"telephone_number": "508-626-0568",
"fax_number": "508-626-2750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEGMAN",
"first_name": "MARILYN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "3728",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "3728",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "3728",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "MA",
"license": "3728",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS SHIELD",
"identifier": "W10407",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "0000031028",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "05153000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "181987",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CA",
"identifier": "008239",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS SHIELD",
"identifier": "W03828",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1041432",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "735669",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Framingham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.