Individual provider Active NPI

Robert George Zenner, M.D.

  • Psychiatry Physician
  • Mesa, AZ
National Provider Identifier
1467445122
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18691 Issued in AZ
Practice address
1830 S Alma School Rd
Suite 134
Mesa, AZ 85210-3056
Phone
(480) 839-4085
Fax
(480) 730-3312
NPI assigned
Aug 29, 2005
Sex
Male
Sole proprietor
Yes

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 18691 AZ Primary

Addresses

Primary practice location

1830 S Alma School Rd
Suite 134
Mesa, AZ 85210-3056

Mailing address

1830 S Alma School Rd
Suite 134
Mesa, AZ 85210-3056
Phone (480) 839-4085

Other identifiers 1

IdentifierTypeStateIssuer
18691OtherAZMEDICAL LICENSE

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 Medicine

State licenses

LicenseStateTypeSpecialty
18691AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Psychiatric Physicians, P.C. Psychiatry Past Accepting new patients
Friendship Community Mental Health Center, Inc. PastSince Apr 26, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: robert.zennermd.p1@direct.lifewell.nextgenshare.com

Organizations & group practices 2

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467445122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD",
            "address_2": "SUITE 134",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103056",
            "telephone_number": "480-839-4085",
            "fax_number": "480-730-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD",
            "address_2": "SUITE 134",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103056",
            "telephone_number": "480-839-4085",
            "fax_number": "480-730-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENNER",
        "first_name": "ROBERT",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "18691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "18691",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

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.