Shawn Lee Zimmerman, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH9575 Issued in FL

Practice address

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

Phone

(407) 580-6997

NPI assigned

Jun 27, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Shawn L. Zimmerman, PHD, LLC

  • Community/Behavioral Health Agency
  • Maitland, FL
  • NPI 1346502069
  NPD (past) Authorized official
• Senior Connections of Texas, PLLC

  • Clinical Psychologist
  • Austin, TX
  • NPI 1831368703
  NPD (past)

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1427344506",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "SHAWN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9575",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY-2721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynne Zeno-Quinn, LCSW
• Don J Zerbian
• You Zhou, MD
• Carmen Emilia Ziers, MS
• Joylin Christina Zimmerman, PT, CMPT
• Susan Zimmon, CCC-SLP
• Jessica Zipper
• Rosa Zorrilla, RPH
• Jelena Zupancic

• Mental Health Counselor in Maitland, FL
• Providers in Maitland, FL by specialty
• Mental Health Counselor 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.