Individual provider Active NPI

Molly E Zimmerman, PH.D.

  • Clinical Neuropsychologist
  • New York, NY
National Provider Identifier
1588844757
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
017167 Issued in NY
Practice address
615 Fort Washington Ave
Apt. 3D
New York, NY 10040-3954
Phone
(347) 604-0414
NPI assigned
Nov 5, 2007
Last updated
Nov 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 017167 NY Primary

Addresses

Primary practice location

615 Fort Washington Ave
Apt. 3D
New York, NY 10040-3954

Mailing address

615 Fort Washington Ave
Apt. 3D
New York, NY 10040-3954
Phone (347) 604-0414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20080407000189 NY Practitioner - Clinical Psychologist 1759468309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westchester Center for Cognitive Assessment LLCGroup PAC ID 5890016273, 6 clinicians

Practice addresses (Care Compare)

344 E Main St
Suite 202
Mount Kisco, NY 10549-3036
Phone (914) 355-8904

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Center for Cognitive Assessment LLC Clinical Neuropsychologist CurrentSince Jun 23, 2025 Accepting new patients

Locations

344 E Main St
Ste 202
Mount Kisco, NY 10549
Phone (914) 355-8904

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1588844757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 FORT WASHINGTON AVE",
            "address_2": "APT. 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403954",
            "telephone_number": "347-604-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 FORT WASHINGTON AVE",
            "address_2": "APT. 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403954",
            "telephone_number": "347-604-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "MOLLY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "017167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.