Shawn Zimmerman, CDCA PRELIMINARY

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

166056 Issued in OH

Practice address

1320 Washington Ave
Cleveland, OH 44113-2333

Phone

(216) 727-2086

NPI assigned

Jun 7, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1588157358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WASHINGTON AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132333",
            "telephone_number": "216-727-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WASHINGTON AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132333",
            "telephone_number": "216-727-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "SHAWN",
        "credential": "CDCA PRELIMINARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "166056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCDP",
            "identifier": "166056",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damian A Zimmerman
• Denise Zimmerman, ACNS-BC
• Renee Zimmerman, LSW
• Robert S Zimmerman, MD
• Sarah Zimmerman
• Teresa N Zimmerman, MD
• Raymond Zimon, R.PH.
• Zin Medical Inc
• Nicole E Zingale, LICDC
• Toni Lea Zingale, LSW

• Addiction (Substance Use Disorder) Counselor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.

Verify at the official NPI Registry.