Dr Tammy Zimmel LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

DR TAMMY ZIMMEL LLC

Practice address

1831 S Green Bay Rd
Suite 2B
Mt Pleasant, WI 53406-4605

Phone

(262) 554-9846

Fax

(262) 456-0184

NPI assigned

Jun 3, 2013

Organization subpart

No

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

Authorized official

Name

Tamara L Zimmel, PSYD

Title

Owner

Phone

(262) 554-9846

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tammy Lynn Zimmel, PSYD

  • Clinical Psychologist
  • Racine, WI
  • NPI 1134288392
  Medicare reassignment NPD
• Carmen Angelina Leonard, LCSW

  • Social Worker
  • Mt. Pleasant, WI
  • NPI 1780101295
  NPD (past)

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1972940799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 S GREEN BAY RD",
            "address_2": "SUITE 2B",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534064605",
            "telephone_number": "262-554-9846",
            "fax_number": "262-456-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 S GREEN BAY RD",
            "address_2": "SUITE 2B",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534064605",
            "telephone_number": "262-554-9846",
            "fax_number": "262-456-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TAMMY ZIMMEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "ZIMMEL",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-554-9846",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurrin R Dorey
• Samantha Doty, PA-C
• Ashley Nicole Dougvillo
• Megan Dowd, APNP
• Elizabeth Mary Dowling, CRNA
• Eki Drake, FNP
• Michael Brent Dreifke, MD
• DRS Decheck and Mataczynski MD SC
• Peter Drummond
• Cindi Due, RDH

• Psychologist in Mt Pleasant, WI
• Providers in Mt Pleasant, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.