Individual provider Active NPI

Linda J Zimmerman, PSY. D.

  • Psychologist
  • Wexford, PA
National Provider Identifier
1588704837
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-006527L Issued in PA
Practice address
8500 Brooktree Rd
Suite 311
Wexford, PA 15090-9287
Phone
(724) 935-9955
Fax
(724) 935-9958
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS-006527L PA Primary

Addresses

Primary practice location

8500 Brooktree Rd
Suite 311
Wexford, PA 15090-9287

Mailing address

8500 Brooktree Rd
Suite 311
Wexford, PA 15090-9287
Phone (724) 935-9955

Other identifiers 2

IdentifierTypeStateIssuer
204596OtherPAUPMC PROVIDER
193098OtherPAHIGHMARK PROVIDER

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

State licenses

LicenseStateTypeSpecialty
PS-006527LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588704837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 BROOKTREE RD",
            "address_2": "SUITE 311",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909287",
            "telephone_number": "724-935-9955",
            "fax_number": "724-935-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 BROOKTREE RD",
            "address_2": "SUITE 311",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909287",
            "telephone_number": "724-935-9955",
            "fax_number": "724-935-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "LINDA",
        "middle_name": "J",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-006527L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC PROVIDER",
            "identifier": "204596",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER",
            "identifier": "193098",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.