Zachary Gerdes, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

300 S Twining St, BLDG 760
Maxwell Air Force Base 42D Medical Group
Maxwell Afb, AL 36112-6219

Phone

(334) 953-5430

NPI assigned

May 1, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1639734056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 FITZGERALD RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361062633",
            "telephone_number": "206-503-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S TWINING ST, BLDG 760",
            "address_2": "MAXWELL AIR FORCE BASE 42D MEDICAL GROUP",
            "city": "MAXWELL AFB",
            "state": "AL",
            "postal_code": "361126219",
            "telephone_number": "334-953-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERDES",
        "first_name": "ZACHARY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-01",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel J Efraim, PHARM.D.
• Melissa Nash Everage, NURSE PRACTITIONER
• Alexandria Fava, DMD
• Aillen Ford, LCSW
• John N Gayk, MD
• Holly Bernadine Gerstner-Norris, MS, LAT, ATC, PES
• Paula Sue Giamo, PA-C
• Andrew Gieger, MD
• Katlyn Gorgus
• Courtney Michelle Hall

• Psychologist in Maxwell Afb, AL
• Providers in Maxwell Afb, AL by specialty
• Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.