Vanessa Zizak

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY26871 Issued in CA

Practice address

VA Long Beach Healthcare System
5901 East 7TH St. Mailbox 116B
Long Beach, CA 90822

Phone

(562) 826-8000

Fax

(562) 826-5679

NPI assigned

Oct 22, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1639422009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VA LONG BEACH HEALTHCARE SYSTEM",
            "address_2": "5901 EAST 7TH ST. MAILBOX 116B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90822",
            "telephone_number": "562-826-8000",
            "fax_number": "562-826-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VA LONG BEACH HEALTHCARE SYSTEM",
            "address_2": "5901 EAST 7TH ST. MAILBOX 116B",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90822",
            "telephone_number": "562-826-8000",
            "fax_number": "562-826-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIZAK",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-22",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY26871",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY26871",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "4334",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4334",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jezzica E Zimmermann
• Richard G Zinner, SLP
• Lawrence Jay Zipser, P.T.
• Graciela Susana Zisman, LCSW
• Izabella Zitney, LMFT
• Carol Anne Zizz, AUD
• Marisol Zobler, MSW
• Karen A Zoller, M.D.
• John Michael Zorb
• Todd Zorick, M.D.

• Clinical Neuropsychologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.