DR. MICHAEL D. ZIMMERMAN (NPI# 1336261833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336261833 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL D. ZIMMERMAN |
| Credential | PHD |
| Practice Address |
642 Pollasky Ave Suite 210 Clovis CA 93612-1875 |
| Practice Telephone | 5592985368 |
| Practice Fax Number | 5592985378 |
| Mailing Telephone | 5592985368 |
| Mailing Fax Number | 5592985378 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY10502 | CA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY10502 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY10502 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY10502 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
PSY10502 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
PSY10502 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PSY105020 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033518238 | Michael Zimmerman | Occupational Therapist | 154 Taylor James Blvd, Wadsworth, OH 44281-8597 | 2014-08-14 |
| 1194155226 | Michael Zimmerman | Social Worker | 35 Wilson St, Pittsburgh, PA 15223-1719 | 2013-11-27 |
| 1528391620 | Michael Alan Zimmerman | Occupational Therapist | 101 Pocono Dr Ste 2and3, Milford, PA 18337-9408 | 2009-09-08 |
| 1922203660 | Michael G Zimmerman | Emergency Medicine | Nyp-bmh Department of Emergency Medicine, 506 Sixth Street, Brooklyn, NY 11215 | 2007-06-20 |
| 1891907309 | Michael Zimmerman | Pharmacist | 39 Hinesburg Road, South Burlington, VT 05403 | 2007-05-04 |
| 1194873653 | Michael A. Zimmerman | Dentist | 127 Southport Rd, Spartanburg, SC 29306-3815 | 2007-01-08 |
| 1508494162 | Michael David Zimmerman | Student in an Organized Health Care Education/Training Program | 4500 N Shallowford Rd, Dunwoody, GA 30338-6476 | 2020-03-30 |
| 1144712423 | Michael Taylor Zimmerman I | Orthotist | 4280 Old William Penn Hwy, Monroeville, PA 15146-1614 | 2018-06-03 |
| 1831689967 | Michael Lee Zimmerman | Technician, Other | 2049 Skyline Dr, Lemon Grove, CA 91945-4221 | 2018-05-15 |
| 1558862581 | Michael David Zimmerman | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2018-02-25 |
| Street Address |
642 POLLASKY AVE SUITE 210 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93612-1875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851441810 | Larry Samuel Moricca | Psychologist | 642 Pollasky Ave, #210, Clovis, CA 93612-1875 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778002 | Prieto Dental Corporation | Dentist | 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 | 2019-12-27 |
| 1285190827 | Natividad Casillas | Behavior Technician | 20 N Dewitt, Clovis, CA 93612 | 2019-02-19 |
| 1922578988 | Benjamin Harold Davis Jr. | Behavior Technician | Swans Consulting, 20 N Dewitt Ave, Clovis, CA 93612 | 2018-12-03 |
| 1134620651 | Innovative Development & Living Solutions of California | Assisted Living Facility | 32 West Sierra Ave, Clovis, CA 93612 | 2018-02-21 |
| 1427578616 | Mariamajane Sengsiri | Licensed Vocational Nurse | 1244 Estabrook Ave., Clovis, CA 93612 | 2017-06-20 |
| 1417482464 | Tiffanie Guy | Pharmacist | 2810 Willow Ave Apt 206, Clovis, CA 93612 | 2017-04-27 |
| 1194271833 | Daniel Salinas | Specialist/Technologist | 1712 Harvard Ave., Clovis, CA 93612 | 2016-09-01 |
| 1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
| 1437400793 | Bashful Elephant | Counselor | 3097 Willow Suite 4, Clovis, CA 93612 | 2012-09-27 |
| 1588930432 | Nghiem Gia Vu | Pharmacist | 695 W Herdn Ave, Clovis, CA 93612 | 2012-03-26 |
| Find all providers in zip 93612 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
| 1093154163 | Stanley Frederick Littleworth | Psychologist | 4785 N Pinebury Way, Clovis, CA 93619-4626 | 2013-06-21 |
| 1275971665 | Kenneth John Carr | Psychologist | 641 N Fowler Ave, Apt #255, Clovis, CA 93611-6610 | 2013-06-07 |
| 1831452564 | Cara Jean Emes | Psychologist | 613 Harvard Ave, Suite 202, Clovis, CA 93612-1866 | 2012-06-18 |
| 1366672313 | Matthew Thomas Tatum | Psychologist | 2343 Deauville Cir, Clovis, CA 93619-4292 | 2009-07-23 |
| 1053561472 | Paula Jean Willis | Psychologist | 1920 N Burl Ave, Clovis, CA 93619-2865 | 2008-09-22 |
| 1851441810 | Larry Samuel Moricca | Psychologist | 642 Pollasky Ave, #210, Clovis, CA 93612-1875 | 2007-01-11 |
| 1851451603 | Patricia Prater | Psychologist | 3128 Willow Ave Ste 102, Clovis, CA 93612-4746 | 2006-12-11 |
| 1245327626 | Alexia Baca Morgan | Psychologist | 106 Pollasky, A, Clovis, CA 93612 | 2006-10-06 |
| 1235225764 | Alexa Hilary Wasserman-toncheff | Psychologist | 3128 Willow, Suite 102, Clovis, CA 93612 | 2006-10-04 |
| Find all providers in CLOVIS | ||||
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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.