Individual provider Active NPI

Suzanna V Zimmet, M.D.

  • Psychiatry Physician
  • Jamaica Plain, MA
National Provider Identifier
1770613077
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
57052 Issued in MA
Practice address
180 Morton St
Ma Mental Health Center at Shattuck Hospital
Jamaica Plain, MA 02445
Phone
(617) 626-9591
NPI assigned
Mar 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 57052 MA Primary

Addresses

Primary practice location

180 Morton St
Ma Mental Health Center at Shattuck Hospital
Jamaica Plain, MA 02445

Mailing address

110 Cypress St Unit 312
Brookline, MA 02445-6027
Phone (617) 480-8104

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)
Enrolled
Credentials
Doctor of Medicine

Interoperability endpoints

  • Direct secure messaging: szimmet88709@tuftsmedicine.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770613077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CYPRESS ST UNIT 312",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024456027",
            "telephone_number": "617-480-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MORTON ST",
            "address_2": "MA MENTAL HEALTH CENTER AT SHATTUCK HOSPITAL",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "02445",
            "telephone_number": "617-626-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMET",
        "first_name": "SUZANNA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "57052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica Plain, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.