GZW Psych PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GZW PSYCH PLLC

Practice address

2375 University Ave W Ste 160
Saint Paul, MN 55114-1632

Phone

(612) 643-3479

Fax

(612) 643-3479

NPI assigned

Jan 4, 2019

Last updated

Dec 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. G Zachariah White, PSYDNPI 1790012771

Title

Owner

Phone

(612) 208-9739

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• G Zachariah White, PSYD

  • Clinical Psychologist
  • Saint Paul, MN
  • NPI 1790012771
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702080000000",
    "number": "1558834267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2375 UNIVERSITY AVE W STE 160",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141632",
            "telephone_number": "612-643-3479",
            "fax_number": "612-643-3479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 UNIVERSITY AVE W STE 160",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141632",
            "telephone_number": "612-643-3479",
            "fax_number": "612-643-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GZW PSYCH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "ZACHARIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-208-9739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.