Individual provider Active NPI

Judith Marion Zamorsky, PHD

  • Psychologist
  • Austin, TX
National Provider Identifier
1376625608
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
24498 Issued in TX
Practice address
4310 Medical Pkwy
Suite 101
Austin, TX 78756-3335
Phone
(512) 306-9522
Fax
(512) 329-6765
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 24498 TX Primary

Addresses

Primary practice location

4310 Medical Pkwy
Suite 101
Austin, TX 78756-3335

Mailing address

4310 Medical Pkwy
Suite 101
Austin, TX 78756-3335
Phone (512) 306-9522

Other identifiers 1

IdentifierTypeStateIssuer
1137820MedicaidTX

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

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1376625608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 MEDICAL PKWY",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563335",
            "telephone_number": "512-306-9522",
            "fax_number": "512-329-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 MEDICAL PKWY",
            "address_2": "SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563335",
            "telephone_number": "512-306-9522",
            "fax_number": "512-329-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORSKY",
        "first_name": "JUDITH",
        "middle_name": "MARION",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "24498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1137820",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.