Joshua Paul Ziesel, PSYD, HSP-P

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5245 Issued in NC

Practice address

640 Holly Ave
Winston Salem, NC 27101-2716

Phone

(336) 725-3999

NPI assigned

Oct 11, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinity Center IncGroup PAC ID 0042759680, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Trinity Center Inc

  • Addiction (Substance Use Disorder) Counselor
  • Winston Salem, NC
  • NPI 1700892478

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Trinity Center Inc

  • Counseling Psychologist
  • Winston Salem, NC
  • NPI 1780536383
  NPD (past)

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

{
    "created_epoch": "1602374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602374400000",
    "number": "1780282962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 PRYTANIA RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065018",
            "telephone_number": "917-692-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 HOLLY AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012716",
            "telephone_number": "336-725-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIESEL",
        "first_name": "JOSHUA",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PSYD, HSP-P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-11",
        "last_updated": "2020-10-11",
        "certification_date": "2020-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Xiao-Ming Zhao, MD
• Jin Zhao, M.D., PH.D.
• Hui Zheng, MD
• Qiuyu Zhu, MD
• Carol J Ziel, M.D.
• Elizabeth Katherine Zieser-Misenheimer
• Julia Zimlich
• Rachel Patricia Zimmer, NP
• Amanda Anne Zimmerman, PA-C
• Joshua Zimmerman

• Clinical Psychologist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.