Individual provider Active NPI

Stephen F X Zieman Jr., PH.D.

  • Clinical Neuropsychologist
  • Pensacola, FL
National Provider Identifier
1730315318
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY8311 Issued in FL
Practice address
1120 N Palafox St
Pensacola, FL 32501-2608
Phone
(850) 434-5033
Fax
(850) 433-0268
NPI assigned
Jun 9, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY8311 FL Primary

Addresses

Primary practice location

1120 N Palafox St
Pensacola, FL 32501-2608

Mailing address

1120 N Palafox St
Pensacola, FL 32501-2608
Phone (850) 434-5033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110818000783 FL Practitioner - Clinical Psychologist 9234308966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Associates, P.aGroup PAC ID 1052388014, 10 clinicians

Practice addresses (Care Compare)

1120 N Palafox St
Pensacola, FL 32501-2608
Phone (850) 434-5033

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY8311FLMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Associates, P.a. CurrentSince Aug 1, 2011 Accepting new patients

Locations

1120 N Palafox St
Pensacola, FL 32501
Phone (850) 434-5033

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352332800000",
    "number": "1730315318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012608",
            "telephone_number": "850-434-5033",
            "fax_number": "850-433-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N PALAFOX ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012608",
            "telephone_number": "850-434-5033",
            "fax_number": "850-433-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEMAN",
        "first_name": "STEPHEN",
        "middle_name": "F X",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2012-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY8311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.