Individual provider Active NPI

Robert Thomas Zozus Jr.

  • Clinical Psychologist
  • Durham, NC
National Provider Identifier
1578590055
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2576 Issued in NC
Practice address
3500 Westgate Dr
Suite 601
Durham, NC 27707-2567
Phone
(919) 780-4379
Fax
(919) 908-8164
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 2576 NC
Mental Health Counselor 101YM0800X 2576 NC
Psychologist 103T00000X 2576 NC
Clinical Psychologist 103TC0700X 2576 NC Primary
Psychoanalysis Psychologist 103TP0814X 2576 NC

Addresses

Primary practice location

3500 Westgate Dr
Suite 601
Durham, NC 27707-2567

Mailing address

500 N Duke St
Unit 54-301
Durham, NC 27701-2071
Phone (919) 780-4379

Other names 1

  • Mr. Robert Thomas Zozus Other name

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

LicenseStateTypeSpecialty
2576NCMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1578590055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N DUKE ST",
            "address_2": "UNIT 54-301",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012071",
            "telephone_number": "919-780-4379",
            "fax_number": "919-980-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 WESTGATE DR",
            "address_2": "SUITE 601",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072567",
            "telephone_number": "919-780-4379",
            "fax_number": "919-908-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOZUS",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "2576",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2576",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "2576",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2576",
            "primary": true
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NC",
            "license": "2576",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "ZOZUS",
            "middle_name": "THOMAS",
            "prefix": "MR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.