Individual provider Active NPI

Mary F Zemansky, PH.D.

  • Clinical Psychologist
  • Sedona, AZ
National Provider Identifier
1700841863
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20041368A Issued in IN
Practice address
50 Camino del Sol
Sedona, AZ 86336-5456
Phone
(219) 805-8612
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20041368A IN
Psychologist 103T00000X 071004981 IL
Clinical Psychologist 103TC0700X PSY-001728 AZ
Clinical Psychologist 103TC0700X 20041368A IN Primary

Addresses

Primary practice location

50 Camino del Sol
Sedona, AZ 86336-5456

Mailing address

50 Camino del Sol
Sedona, AZ 86336-5456
Phone (219) 805-8612

Other identifiers 1

IdentifierTypeStateIssuer
200197170BMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180607003160 AZ Practitioner - Clinical Psychologist 6608762208 Practice locations: Cottonwood, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

703 S Main St
Suite 15
Cottonwood, AZ 86326-4615
Phone (928) 300-7619

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071004981ILMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Z Psychology Services PLLC Psychologist CurrentSince Jun 8, 2024 Accepting new patients
Comprehensive Psychology Services, P.C. Clinical PastSince Oct 10, 2001 Accepting new patients

Locations

703 S Main St
Ste 15
Cottonwood, AZ 86326
Phone (928) 215-1039

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1700841863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CAMINO DEL SOL",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365456",
            "telephone_number": "219-805-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CAMINO DEL SOL",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365456",
            "telephone_number": "219-805-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEMANSKY",
        "first_name": "MARY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20041368A",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071004981",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-001728",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041368A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200197170B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

Verify at the official NPI Registry.