Individual provider Active NPI

Denis L Zavodny, PH.D., BCBA

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1598962276
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY002510 Issued in GA
Practice address
32 Peachtree St NW Apt 906
Atlanta, GA 30303-2355
Phone
(850) 510-4007
NPI assigned
Jun 27, 2007
Sex
Male
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY002510 GA Primary
Clinical Psychologist 103TC0700X PY6321 FL
Clinical Psychologist 103TC0700X 1165 AL

Addresses

Primary practice location

32 Peachtree St NW Apt 906
Atlanta, GA 30303-2355

Mailing address

32 Peachtree St NW Apt 906
Atlanta, GA 30303-2355
Phone (850) 510-4007

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1165ALMDClinical Psychologist
PY6321FLMDClinical Psychologist
PY002510GAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598962276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PEACHTREE ST NW APT 906",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032355",
            "telephone_number": "850-510-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PEACHTREE ST NW APT 906",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032355",
            "telephone_number": "850-510-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAVODNY",
        "first_name": "DENIS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D., BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PY002510",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6321",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

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.