DR. MARC LEE ZIMMERMANN (NPI# 1093743528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093743528 |
| Entity Type | Individual |
| Full Name | DR. MARC LEE ZIMMERMANN |
| Credential | PH.D., M.P. |
| Practice Address |
9270 Siegen Ln Suite 402 Baton Rouge LA 70810-1998 |
| Mailing Address |
Po Box 86962 Baton Rouge LA 70879-6962 |
| Practice Telephone | 2252936377 |
| Mailing Telephone | 2252936377 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2013-12-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
304 | LA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
304 | LA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
304 | LA | Behavioral Health & Social Service Providers |
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
MPAP.000015 | LA | Behavioral Health & Social Service Providers |
| Street Address |
9270 SIEGEN LN SUITE 402 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-1998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720057458 | Robin Bracy Marrero | Social Worker | 9270 Siegen Ln, Suite 501, Baton Rouge, LA 70810-1998 | 2006-03-15 |
| 1760918791 | Adreona Sanders | Counselor | 9270 Siegen Ln, Baton Rouge, LA 70810 | 2017-05-11 |
| 1447700158 | Kieaerra Curry | Counselor | 9270 Siegen Ln, Unit 101, Baton Rouge, LA 70810-1998 | 2016-10-05 |
| 1659746840 | Arkeria Robertson | Counselor | 9270 Siegen Ln, Suite 101, Baton Rouge, LA 70810-1998 | 2015-12-14 |
| 1841665353 | Garrick Gordon Sr. | Social Worker | 9270 Siegen Ln, Ste 101, Baton Rouge, LA 70810-1998 | 2015-12-09 |
| 1003281502 | Timkka Webster | Social Worker | 9270 Siegen Ln, Ste 101, Baton Rouge, LA 70810 | 2015-12-09 |
| 1356715676 | Benny Johnson | Counselor | 9270 Siegen Ln, Baton Rouge, LA 70810-1998 | 2015-11-24 |
| 1497129886 | Nicole Mcintyre | Counselor | 9270 Siegen Ln, Suite 101, Baton Rouge, LA 70810 | 2015-11-23 |
| 1437533809 | Tequila Chin | Case Manager/Care Coordinator | 9270 Siegen Ln, Suite 101, Baton Rouge, LA 70810-1998 | 2015-07-16 |
| 1841634052 | Brandy Price Klingman | Social Worker | 9270 Siegen Ln, Baton Rouge, LA 70810-1998 | 2013-04-18 |
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| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
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|---|---|---|---|---|
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| 1437159639 | Kelly Paulk Ray | Psychologist | 7913 Wrenwood Blvd Ste A, Baton Rouge, LA 70809 | 2005-07-29 |
| 1417376047 | Moturu Lalitha Kumari | Psychologist | 4983 Bluebonnet Blvd Ste A, Baton Rouge, LA 70809-3094 | 2014-04-10 |
| 1710309216 | Jmj Psychological Services, LLC | Psychologist | 412 N 4th St, Suite 100, Baton Rouge, LA 70802-5523 | 2014-01-17 |
| 1578696555 | Cherri E. Penton | Psychologist | 1805 College Dr, Baton Rouge, LA 70808-1919 | 2007-03-13 |
| 1629018585 | Family Therapy Clinic of Louisiana, LLC | Psychologist | 8480 Bluebonnet Blvd Ste A, Baton Rouge, LA 70810-2879 | 2006-06-08 |
| 1629039987 | Erich G Duchmann | Psychologist | 8480 Bluebonnet Blvd Ste A, Baton Rouge, LA 70810-2879 | 2006-03-28 |
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| 1730520925 | Faw Services, LLC | Psychologist | 223 Bellingrath Pl, Madisonville, LA 70447-3421 | 2013-07-16 |
| 1134418502 | Psychological Health Care of South Louisiana | Psychologist | 1016 Houma St, Houma, LA 70360-4420 | 2011-04-06 |
| 1922234566 | Felicia Ann Whiteman | Psychologist | 2331 Carey St, Slidell, LA 70458-3627 | 2009-06-10 |
| 1861627465 | Lakisha Shantell Williams | Psychologist | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2009-05-26 |
| 1710101373 | Rebecca Faye Nolan | Psychologist | 111 Carroll St, Shreveport, LA 71105-4203 | 2007-04-12 |
| 1013131267 | Dr. Maria B. Cruse Apmg | Psychologist | 604 North Acadia Road, Suite 201, Thibodaux, LA 70301 | 2007-04-12 |
| 1104925932 | Williams Consulting Inc. | Psychologist | 1410 Royal Ave, Monroe, LA 71201-5608 | 2006-09-21 |
| 1043247331 | Bryan L Bolwahnn | Psychologist | 100 Gayven Dr, Ball, LA 71405-4903 | 2006-06-26 |
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| City | BATON ROUGE |
| Zip Code | 70810 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.