Individual provider Active NPI

Matthew Zemburski, PMHNP-BC

  • Psychiatric/Mental Health Registered Nurse
  • Chicago, IL
National Provider Identifier
1629319009
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
209010222 Issued in IL
Practice address
734 W 47TH St
Chicago, IL 60609-4411
Phone
(773) 537-3960
NPI assigned
Mar 8, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 209010222 IL Primary

Addresses

Primary practice location

734 W 47TH St
Chicago, IL 60609-4411

Mailing address

734 W 47TH St
Chicago, IL 60609-4411
Phone (773) 537-3960

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

NPI Registry JSON

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1629319009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 W 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606094411",
            "telephone_number": "773-537-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 W 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606094411",
            "telephone_number": "773-537-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEMBURSKI",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209010222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.