Individual provider Active NPI

Heather A Zak, PH.D, P.C.

  • Clinical Psychologist
  • East Lansing, MI
National Provider Identifier
1649361510
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301008893 Issued in MI
Practice address
724 Abbot Rd Ste 100
East Lansing, MI 48823-3167
Phone
(517) 327-7400
Fax
(517) 913-6362
NPI assigned
Sep 27, 2006
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301008893 MI Primary

Addresses

Primary practice location

724 Abbot Rd Ste 100
East Lansing, MI 48823-3167

Mailing address

724 Abbot Rd Ste 100
East Lansing, MI 48823-3167
Phone (517) 327-7400

Other practice location 1

302 S Waverly Rd
Suite 3
Lansing, MI 48917-3631
Phone (517) 327-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120503000477 MI Practitioner - Clinical Psychologist 8224290457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

724 Abbot Rd
Suite 100
East Lansing, MI 48823-3167
Phone (517) 327-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301008893MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heather a Zak PHD PC CurrentSince Nov 1, 2011 Accepting new patients

Locations

724 Abbot Rd
East Lansing, MI 48823
Phone (517) 327-7400

724 Abbot Rd
Ste 100
East Lansing, MI 48823
Phone (517) 327-7400

302 S Waverly Rd
Ste 3
Lansing, MI 48917
Phone (517) 327-7400

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1649361510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 ABBOT RD STE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233167",
            "telephone_number": "517-327-7400",
            "fax_number": "517-913-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 ABBOT RD STE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233167",
            "telephone_number": "517-327-7400",
            "fax_number": "517-913-6362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 S Waverly Rd",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489173631",
            "country_code": "US",
            "telephone_number": "517-327-7400",
            "fax_number": "517-327-3915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAK",
        "first_name": "HEATHER",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PH.D, P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301008893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.