Active NPI
Gary Zinik, PH.D.
- Forensic Psychologist
- Ventura, CA
National Provider Identifier
1730530684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PSY10262
- Practice address
- 1280 S Victoria Ave Ste 230
Ventura, CA 93003-6551 - Phone
- (805) 650-3327
- NPI assigned
- Jun 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | PSY10262 | CA | Primary |
| Clinical Psychologist | 103TC0700X | PSY10262 | CA |
Addresses
Primary practice location
1280 S Victoria Ave Ste 230
Ventura, CA 93003-6551
Mailing address
1280 S Victoria Ave Ste 230
Ventura, CA 93003-6551
Phone (805) 650-3327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10262 | CA | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1730530684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1280 S VICTORIA AVE STE 230",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036551",
"telephone_number": "805-650-3327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 S VICTORIA AVE STE 230",
"city": "VENTURA",
"state": "CA",
"postal_code": "930036551",
"telephone_number": "805-650-3327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINIK",
"first_name": "GARY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-22",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY10262",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY10262",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.