Active NPI
Gerald David Zirin, PSY.D.
- Clinical Psychologist
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7307
- Practice address
- 8124 E Cactus Rd Ste 410
Scottsdale, AZ 85260-5262 - Phone
- (602) 363-2872
- Fax
- (888) 839-1279
- NPI assigned
- Oct 11, 2006
- Last updated
- Jan 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4058 | AZ | |
| Clinical Psychologist | 103TC0700X | 7307 | MA | Primary |
Addresses
Primary practice location
8124 E Cactus Rd Ste 410
Scottsdale, AZ 85260-5262
Mailing address
2710 E Emile Zola Ave
Phoenix, AZ 85032-5921
Phone (602) 363-2872
Other practice location 1
3040 E Cactus Rd
Ste 6
Phoenix, AZ 85032-7196
Phone (602) 263-1200 ext. 1802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8825 N 23Rd Ave
Suite 100
Phoenix, AZ 85021-4148
Phone (800) 997-6196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4058 | AZ | MD | Clinical Psychologist |
| 7307 | MA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor on Demand Professionals of California | Psychologist | Current | Accepting new patients |
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
Locations
20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113
8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238
1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926
275 Battery St
Ste 650
San Francisco, CA 94111
Phone 4155043838104
Interoperability endpoints
- gerald.david.zirin.1@30520.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1346658614
AZ, Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1922197904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 E EMILE ZOLA AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850325921",
"telephone_number": "602-363-2872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8124 E CACTUS RD STE 410",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852605262",
"telephone_number": "602-363-2872",
"fax_number": "888-839-1279"
}
],
"practiceLocations": [
{
"address_1": "3040 E CACTUS RD",
"address_2": "STE 6",
"address_purpose": "LOCATION",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850327196",
"country_code": "US",
"telephone_number": "602-263-1200 x1802",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIRIN",
"first_name": "GERALD",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "4058",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "7307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.