Shawn L. Zimmerman, PHD, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH 9575 Issued in FL

Legal business name

SHAWN L. ZIMMERMAN, PHD, LLC

Practice address

549 N Wymore Rd
Suite 209
Maitland, FL 32751-4203

Phone

(407) 580-6997

Fax

(407) 628-9437

NPI assigned

Jun 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Lee Zimmerman, PHDNPI 1427344506

Title

Owner

Phone

(407) 580-6997

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Shawn Lee Zimmerman, PHD

  • Mental Health Counselor
  • Maitland, FL
  • NPI 1427344506
  NPD (past) Authorized official

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1346502069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "549 N WYMORE RD",
            "address_2": "SUITE 209",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514203",
            "telephone_number": "407-580-6997",
            "fax_number": "407-628-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "549 N WYMORE RD",
            "address_2": "SUITE 209",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514203",
            "telephone_number": "407-580-6997",
            "fax_number": "407-628-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN L. ZIMMERMAN, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-580-6997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH 9575",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "PSYCHOLOGIST 2721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruchi Gandhi Shah, ARNP
• Munima Rafi Shaikh, MD
• Tristan C. Shankara, M.D.
• Tammy Dannielle Shartzer
• Jennifer Shaw
• Joseph Shega, MD
• Vadzim G. Sheika, CRNA
• Akeal Sheikh, CAA
• Sher Pelvic Health and Healing, LLC.
• Tracy Sher, MPT, CSCS

• Community/Behavioral Health Agency in Maitland, FL
• Providers in Maitland, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.