NPIMap

Individual provider Active NPI

Thomas Zatolokin, DO

  • Psychiatry Physician
  • Manistee, MI
National Provider Identifier
1437230596
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5101010133 Issued in MI
Practice address
310 Glocheski Dr
Manistee, MI 49660-0335
Phone
(231) 723-6516
Fax
(231) 882-2195
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 5101010133 MI Primary

Addresses

Primary practice location

310 Glocheski Dr
Manistee, MI 49660-0335

Mailing address

310 Glocheski Dr
PO Box 335
Manistee, MI 49660-2639
Phone (231) 723-6516

Other identifiers 3

IdentifierTypeStateIssuer
5101010133OtherMISTATE LICENSE NUMBER
5101010133OtherMICONTROLLED SUBSTANCE LICE
3067667MedicaidMI

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 Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
State of Michigan Office of Financial Management PastSince Sep 24, 2023 Accepting new patients
Northern Lakes Community Mental Health Authority PastSince Jan 1, 1990 Accepting new patients
Northern Lakes Community Mental Health Authority PastSince Jan 1, 1990 Accepting new patients
State of Michigan Office of Financial Management Past Accepting new patients
Northern Lakes Community Mental Health Authority PastSince Jan 1, 1990 Accepting new patients
Northern Lakes Community Mental Healtlh Authority PastSince Jan 1, 1990 Accepting new patients
Northern Lakes Community Mental Health Authority PastSince Jan 1, 1990 Accepting new patients
Northern Lakes Community Mental Health Authority PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1437230596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GLOCHESKI DR",
            "address_2": "PO BOX 335",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602639",
            "telephone_number": "231-723-6516",
            "fax_number": "231-882-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GLOCHESKI DR",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496600335",
            "telephone_number": "231-723-6516",
            "fax_number": "231-882-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZATOLOKIN",
        "first_name": "THOMAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101010133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "5101010133",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE LICE",
            "identifier": "5101010133",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3067667",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manistee, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.