Craig Joseph Zinkiewicz, PSY.D., NCSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

PSY-005426 Issued in AZ

Practice address

1515 E Missouri Ave Ste 110
Phoenix, AZ 85014-2443

Phone

(602) 274-1928

NPI assigned

Apr 2, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Raymond W Lemberg PHD PC

  • Psychologist
  • Glendale, AZ
  • NPI 1710162888
  Medicare reassignment NPD

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1487406641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E MISSOURI AVE STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142443",
            "telephone_number": "602-274-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E MISSOURI AVE STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142443",
            "telephone_number": "602-274-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINKIEWICZ",
        "first_name": "CRAIG",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PSY.D., NCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, School",
            "state": "AZ",
            "license": "PSY-005426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Zimmerman, LPC
• Sheryl Ann Zimmerman, M.D.
• Stephanie A Zimmerman, M.D.
• Jessica Zimont, MSN, CFNP
• Kayla Zinger, DPT
• Jalisa Zinn
• Kellie B Zinski, ATC
• Zion Home Health
• Zion Hospice
• Zion Institute

• School Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• School Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.