Eleanor Zimmerman, Psy.D., PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

ELEANOR ZIMMERMAN, PSY.D., PLLC

Practice address

12273 US Highway 98 W Ste 204
Miramar Beach, FL 32550-6944

Phone

(850) 558-5750

Fax

(844) 364-1288

NPI assigned

Aug 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Eleanor Zimmerman, PSY.D.NPI 1245622653

Title

License Psychologist, Neuropsych.

Phone

(850) 558-5750

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Eleanor Zimmerman, PSY.D.

  • Clinical Neuropsychologist
  • Miramar Beach, FL
  • NPI 1245622653
  NPD Authorized official

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1386169563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12273 US HIGHWAY 98 W STE 204",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325506944",
            "telephone_number": "850-558-5750",
            "fax_number": "844-364-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12273 US HIGHWAY 98 W STE 204",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325506944",
            "telephone_number": "850-558-5750",
            "fax_number": "844-364-1288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "495 Grand Blvd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Miramar Beach",
            "state": "FL",
            "postal_code": "325501897",
            "country_code": "US",
            "telephone_number": "850-558-5750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 Grand Blvd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Miramar Beach",
            "state": "FL",
            "postal_code": "325501897",
            "country_code": "US",
            "telephone_number": "850-558-5750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEANOR ZIMMERMAN, PSY.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "LICENSE PSYCHOLOGIST, NEUROPSYCH.",
        "authorized_official_telephone_number": "850-558-5750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Rose Duplantis, APRN
• Natalie A Dyer, RBT
• Destiny Eash
• Ashlee Charlena Eaton
• Katherine Marie Eberly, PA-C
• Emerald Coast Medical Management PLLC
• Emerald Coast Memory Clinic, LLC
• Emerald Coast Non-Emergency Transport LLC
• Noelle J Emmons, APRN
• Aimie Exley Enke

• Clinical Neuropsychologist in Miramar Beach, FL
• Providers in Miramar Beach, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.