Active NPI
Jinxin Zhang, PSY.D.
- Clinical Psychologist
- Danville, IL
National Provider Identifier
1437535473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10234
- Practice address
- 1800 E Main St
Danville, IL 61832 - Phone
- (217) 554-5197
- NPI assigned
- Jul 31, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | 10234 | MA | Primary |
Addresses
Primary practice location
1800 E Main St
Danville, IL 61832
Mailing address
403 Western CT
Saint Joseph, IL 61873-9346
Phone (973) 979-2343
Other practice location 1
1970 Riverside Pkwy Ste 104
Lawrenceville, GA 30043-5937
Phone (404) 321-6111 ext. 7900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10234 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526256000000",
"number": "1437535473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 WESTERN CT",
"city": "SAINT JOSEPH",
"state": "IL",
"postal_code": "618739346",
"telephone_number": "973-979-2343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 E MAIN ST",
"city": "DANVILLE",
"state": "IL",
"postal_code": "61832",
"telephone_number": "217-554-5197"
}
],
"practiceLocations": [
{
"address_1": "1970 Riverside Pkwy Ste 104",
"address_purpose": "LOCATION",
"city": "Lawrenceville",
"state": "GA",
"postal_code": "300435937",
"country_code": "US",
"telephone_number": "404-321-6111 x7900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZHANG",
"first_name": "JINXIN",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-31",
"last_updated": "2018-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.