Organization Active NPI

Thomas F Zeck PHD & Associatess

  • Psychologist
  • Lorain, OH
National Provider Identifier
1619987112
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
619 Issued in OH
Legal business name
THOMAS F ZECK PHD & ASSOCIATESS
Practice address
1740 Cooper Foster Park Road
Lorain, OH 44053-4201
Phone
(440) 282-1383
Fax
(440) 989-1265
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Thomas F Zeck, PHD
Title
Psychologist
Phone
(440) 282-1383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 619 OH Primary

Addresses

Primary practice location

1740 Cooper Foster Park Road
Lorain, OH 44053-4201

Mailing address

1740 Cooper Foster Park Road
Lorain, OH 44053-4201
Phone (440) 282-1383

Other identifiers 2

IdentifierTypeStateIssuer
10591500OtherOHMAGELLAN
0252622MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619987112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 COOPER FOSTER PARK ROAD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440534201",
            "telephone_number": "440-282-1383",
            "fax_number": "440-989-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 COOPER FOSTER PARK ROAD",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440534201",
            "telephone_number": "440-282-1383",
            "fax_number": "440-989-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS F ZECK PHD & ASSOCIATESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZECK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "440-282-1383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "10591500",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0252622",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.