Carey Lynne Zimmermann, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1440 Issued in SC

Practice address

80 29TH St
Brooklyn, NY 11232-1503

Phone

(718) 840-4200

NPI assigned

Jul 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Department of Justice Bureau of Prisons

  • Custodial Care Facility
  • Brooklyn, NY
  • NPI 1558578914
  NPD (past)
• The New York Foundling Hospital

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • New York, NY
  • NPI 1114625530
  NPD (past)

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1760645469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 FORT HAMILTON PKWY APT D4C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097133",
            "telephone_number": "347-585-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 29TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112321503",
            "telephone_number": "718-840-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2090 Adam Clayton Powell Jr Blvd",
            "address_2": "Suite 780",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100274990",
            "country_code": "US",
            "telephone_number": "212-660-1342",
            "fax_number": "718-772-0289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "CAREY",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P61783",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Zimmerman, OPHTHALMIC DISPENSER
• Sarah Zimmerman, MS
• Shari A. Zimmerman, PHD, LP
• Steven Eli Zimmerman, PSY.D.
• Sylvia Zimmerman
• Joanna Zimny, DDS
• Mahamadu Zimpa
• Cho Thet Zin
• Morton Zinberg, MD
• Tatyana Zinchenko

• Clinical Psychologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.