Individual provider Active NPI

Ute Zimmermann, PH.D.

  • Clinical Psychologist
  • Kamuela, HI
National Provider Identifier
1811529613
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31601 Issued in CA
Practice address
PO Box 437201
Kamuela, HI 96743-7201
Phone
(626) 676-4816
NPI assigned
Feb 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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 31601 CA Primary

Addresses

Primary practice location

PO Box 437201
Kamuela, HI 96743-7201

Mailing address

556 S Fair Oaks Ave # 196
Pasadena, CA 91105-2656
Phone (626) 676-4816

Other practice location 1

33 S Catalina Ave
Ste 204
Pasadena, CA 91106-2426
Phone (626) 676-8056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200616000187 CA Practitioner - Clinical Psychologist 4688096936 Practice locations: Pasadena, CA
I20240531000831 HI Practitioner - Clinical Psychologist 4688096936 Reassigns benefits to 1 organization
Practice locations: Kamuela, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hamakua Health Center, Inc.Group PAC ID 8325940885, 18 clinicians

Practice addresses (Care Compare)

53-3925 Akoni Pule Hwy
Kapaau, HI 96755
Phone (808) 775-7204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
31601CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamakua Health Center, Inc. CurrentSince May 20, 2024 Accepting new patients
Hamakua Health Center, Inc. CurrentSince May 20, 2024 Accepting new patients
Symbiosis Inc Clinical PastSince Jan 2, 2022 Accepting new patients

Locations

45-549 Plumeria St
Honokaa, HI 96727
Phone (808) 775-7204

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1811529613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 S FAIR OAKS AVE # 196",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052656",
            "telephone_number": "626-676-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 437201",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437201",
            "telephone_number": "626-676-4816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 S CATALINA AVE",
            "address_2": "STE 204",
            "address_purpose": "LOCATION",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062426",
            "country_code": "US",
            "telephone_number": "626-676-8056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZIMMERMANN",
        "first_name": "UTE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "31601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.