Active NPI
David A Zoll, PHD
- Clinical Psychologist
- Virginia Beach, VA
National Provider Identifier
1417920802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810001462
- Practice address
- 780 Lynnhaven Pkwy
Ste 400 Atlantic Psychiatric Services
Virginia Beach, VA 23452-7332 - Phone
- (757) 468-0550
- Fax
- (757) 468-9992
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810001462 | VA | Primary |
Addresses
Primary practice location
780 Lynnhaven Pkwy
Ste 400 Atlantic Psychiatric Services
Virginia Beach, VA 23452-7332
Mailing address
780 Lynnhaven Pkwy
Ste 400
Virginia Beach, VA 23452-7332
Phone (757) 468-0550
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007781 | Other | VALUE OPTIONS | |
| 046314 | Other | ANTHEM HEALTH KEEPERS | |
| 087130 | Other | SENTARA OPTIMA | |
| 213528 | Other | MAMSI | |
| C02527 | Other | MCARE GROUP | |
| 234202 | Other | COM PSYCH | |
| 459623 | Other | MAGELLAN | |
| 046314 | Other | ANTHEM PPO | |
| 133105 | Other | MANAGED HEALTH NETWORK | |
| 046314 | Other | BC BS | |
| 36766905 | Other | MULTIPLAN | |
| 60052 | Other | CIGNA | |
| P00129371 | Other | MCARE RAILROAD |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810001462 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Psychiatric Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1063514925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417920802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 LYNNHAVEN PKWY",
"address_2": "STE 400",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527332",
"telephone_number": "757-468-0550",
"fax_number": "757-468-9992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 LYNNHAVEN PKWY",
"address_2": "STE 400 ATLANTIC PSYCHIATRIC SERVICES",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234527332",
"telephone_number": "757-468-0550",
"fax_number": "757-468-9992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZOLL",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001462",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "007781",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM HEALTH KEEPERS",
"identifier": "046314",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA OPTIMA",
"identifier": "087130",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "213528",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE GROUP",
"identifier": "C02527",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COM PSYCH",
"identifier": "234202",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "459623",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PPO",
"identifier": "046314",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "133105",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "046314",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "36766905",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "60052",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCARE RAILROAD",
"identifier": "P00129371",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.