Individual provider Active NPI

Aimee Marie L. Zapata, PHD

  • Clinical Psychologist
  • Rocklin, CA
National Provider Identifier
1942859632
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSB94025483 Issued in CA
Practice address
5440 Paragon St
Rocklin, CA 95677-2217
Phone
(916) 624-2636
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 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 PSB94025483 CA Primary

Addresses

Primary practice location

5440 Paragon St
Rocklin, CA 95677-2217

Mailing address

5440 Paragon St
Rocklin, CA 95677-2217
Phone (916) 624-2636

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address azapata@kfh.org Direct Koinonia Family Services

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSB94025483CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Koinonia Foster Homes, Inc. PastSince Nov 19, 2023 Accepting new patients
Koinonia Foster Homes, Inc. PastSince Nov 19, 2023 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1942859632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 PARAGON ST",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772217",
            "telephone_number": "916-624-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 PARAGON ST",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956772217",
            "telephone_number": "916-624-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAPATA",
        "first_name": "AIMEE MARIE",
        "middle_name": "L.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB94025483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "azapata@kfh.org",
            "affiliation": "Y",
            "endpointDescription": "E-Maikl",
            "affiliationName": "Koinonia Family Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5440 Paragon St",
            "city": "Rocklin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956772217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.