Zamir Korn, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

013563-1 Issued in NY

Practice address

631 Commack Rd
Commack, NY 11725-5400

Phone

(631) 499-2750

Fax

(631) 757-2153

NPI assigned

Apr 19, 2007

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Orel Psychological Services, PC

  • Community/Behavioral Health Agency
  • Commack, NY
  • NPI 1275750705
  NPD (past) Authorized official

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639396161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 COMMACK RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255400",
            "telephone_number": "631-499-2750",
            "fax_number": "631-757-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 COMMACK RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255400",
            "telephone_number": "631-499-2750",
            "fax_number": "631-757-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORN",
        "first_name": "ZAMIR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013563-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01879625",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Kolb, LPN
• Deborah J. Kolomick, LCSW
• Nicole Kon, PHARM.D.
• Jean Marie Konski, R.N.
• Minjeong Julianne Koo, R.N.
• Jacquelyn Sue Kornblatt
• George Korologos, D.D.S.
• Ramak Korouei, DPT
• Lara Denyse Kosar
• Nicoleta V Koschack, NP

• Clinical Psychologist in Commack, NY
• Providers in Commack, NY by specialty
• Clinical Psychologist in New York

• 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.