Organization Active NPI

Zimmerman Therapy Group

  • Marriage & Family Therapist
  • Clovis, CA
National Provider Identifier
1689297475
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
ZIMMERMAN THERAPY GROUP
Practice address
644 Pollasky Ave Ste 203
Clovis, CA 93612-1883
Phone
(559) 387-4123
NPI assigned
May 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Authorized official

Name
Stephanie Zimmerman, LMFTNPI 1659500353
Title
Ceo
Phone
(559) 312-7779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

644 Pollasky Ave Ste 203
Clovis, CA 93612-1883

Mailing address

644 Pollasky Ave Ste 203
Clovis, CA 93612-1883
Phone (559) 387-4123

Other names 1

  • Zimmerman Marriage and Family Therapy Former legal business name

National Provider Directory

National Provider Directory

Locations

644 Pollasky Ave
Ste 203
Clovis, CA 93612
Phone (559) 212-4377

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1689297475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 POLLASKY AVE STE 203",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121883",
            "telephone_number": "559-387-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 POLLASKY AVE STE 203",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121883",
            "telephone_number": "559-387-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIMMERMAN THERAPY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2022-10-04",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-312-7779",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zimmerman Marriage and Family Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Zimmerman Marriage and Family Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.