Individual provider Active NPI

Gerald David Zirin, PSY.D.

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1922197904
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7307 Issued in MA
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200228001084 AZ Practitioner - Clinical Psychologist 2062514144 Reassigns benefits to 2 organizations
Practice locations: Phoenix, AZ

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
Doctor on Demand Professionals of CaliforniaGroup PAC ID 6406161538, 18 clinicians

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

LicenseStateTypeSpecialty
4058AZMDClinical Psychologist
7307MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor on Demand Professionals of California Psychologist CurrentSince Nov 14, 2023 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Mar 29, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.