Richard Evan Zinbarg, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-005867 Issued in IL

Practice address

114 South Blvd Apt 2
Evanston, IL 60202-3108

Phone

(847) 467-2290

Fax

(847) 491-7859

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1962443424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SOUTH BLVD APT 2",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023108",
            "telephone_number": "847-902-9703",
            "fax_number": "847-491-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SOUTH BLVD APT 2",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023108",
            "telephone_number": "847-467-2290",
            "fax_number": "847-491-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINBARG",
        "first_name": "RICHARD",
        "middle_name": "EVAN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-005867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward J. Zieserl, MD
• Haley Zimmerman, MS, ATC
• Todd Andrew Zimmerman, M.D.
• Zinadum LLC
• Nancy Beth Zinaman, LCSW
• Korie Lynne Zink, MD, MS
• Mitchelle V Zolotarevsky, MD
• Abigail Zombik
• Brenna Christine Zomok
• Francis James Zonay, MD

• Clinical Psychologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.

Verify at the official NPI Registry.