Richard Zimmer, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY14079 Issued in CA

Practice address

1049 4TH St Ste G
Santa Rosa, CA 95404-4345

Phone

(707) 771-9917

NPI assigned

May 8, 2006

Last updated

Jun 30, 2022By the provider in NPPES

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

Enrolled in CA

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

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Linda Towle Psychiatric Mental Health Nursing Services PMH-NP Inc

  dba Linda Towle Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Rosa, CA
  • NPI 1811774813
  NPD

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1609825868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MONTGOMERY DR STE 222",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046629",
            "telephone_number": "707-771-9917",
            "fax_number": "707-542-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 4TH ST STE G",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044345",
            "telephone_number": "707-771-9917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY140790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lin Dan Zhu
• Debra Lynn Zilavy, PH.D.
• Caren Zilber, DO
• Ann Zimmer, MFT
• Christopher Mark Zimmer, LMFT
• Andrew Zimmerman, PHARM.D.
• Leilani Zimmerman, NP-C
• Marion Isabel Adelheid Zipperle, PHD
• Mercedes Zipperle
• Jacob Zipperstein, MD

• Clinical Psychologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.