Individual provider Active NPI

Nancy Davis Zinner, PH.D.

  • Clinical Psychologist
  • Torrance, CA
National Provider Identifier
1801837158
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY13072 Issued in CA
Practice address
24445 Hawthorne Blvd
Suite 202
Torrance, CA 90505-6562
Phone
(310) 375-7139
Fax
(310) 373-8370
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY13072 CA Primary

Addresses

Primary practice location

24445 Hawthorne Blvd
Suite 202
Torrance, CA 90505-6562

Mailing address

24445 Hawthorne Blvd
Suite 202
Torrance, CA 90505-6562
Phone (310) 375-7139

Other identifiers 1

IdentifierTypeStateIssuer
PSY130720MedicaidCA

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 Philosophy

State licenses

LicenseStateTypeSpecialty
13072CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1801837158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24445 HAWTHORNE BLVD",
            "address_2": "SUITE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056562",
            "telephone_number": "310-375-7139",
            "fax_number": "310-373-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24445 HAWTHORNE BLVD",
            "address_2": "SUITE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056562",
            "telephone_number": "310-375-7139",
            "fax_number": "310-373-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINNER",
        "first_name": "NANCY",
        "middle_name": "DAVIS",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY130720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.