DR. VANESSA ZIZAK (NPI# 1639422009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639422009 |
| Entity Type | Individual |
| Full Name | DR. VANESSA ZIZAK |
| Practice Address |
Va Long Beach Healthcare System 5901 East 7th St. Mailbox 116b Long Beach CA 90822 |
| Practice Telephone | 5628268000 |
| Practice Fax Number | 5628265679 |
| Mailing Telephone | 5628268000 |
| Mailing Fax Number | 5628265679 |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2015-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY26871 | CA | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | 4334 | AZ | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PSY26871 | CA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
4334 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
VA LONG BEACH HEALTHCARE SYSTEM 5901 EAST 7TH ST. MAILBOX 116B |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730654401 | Nicholas Brown | Psychologist | 5901 E. 7th Street (06/116b), Long Beach, CA 90822 | 2018-10-09 |
| 1194231027 | Liliana Jimenez | Social Worker | 5901 E. 7th St, Social Work Services, Long Beach, CA 90822 | 2017-12-14 |
| 1144621640 | James Edward Yadavaia IIi | Psychologist | 5901 E. 7th St. (06/116b), Long Beach, CA 90822 | 2014-09-16 |
| 1841600186 | Helen Ma | Internal Medicine | 5901 East 7th St, Long Beach, CA 90822 | 2014-05-07 |
| 1316374101 | Linda Jane Robles | Counselor | Va Healthcare Long Beach, 5901 E 7th Street, Long Beach, CA 90822 | 2013-10-11 |
| 1457783862 | Gretchen Louise Sholty | Psychologist | 5901 E. 7th St (06/116b), Long Beach, CA 90822 | 2013-08-08 |
| 1306278924 | Christopher Stephen Gentry | Nurse Practitioner | 2700 Bellflower Blvd, #112, Long Beach, CA 90822 | 2013-08-06 |
| 1609166487 | Heather M. Shumway | Family Medicine | 5901 East Seventh St., Va Long Beach, Long Beach, CA 90822 | 2011-04-13 |
| 1376833277 | Michael R Lowder | Dentist | 5901 East Seventh St, Va Long Beach, Long Beach, CA 90822 | 2011-04-12 |
| 1700010865 | Va Long Beach Medical Center | General Acute Care Hospital | 5901 E. 7th St., Long Beach, CA 90822 | 2009-05-05 |
| Find all providers in zip 90822 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164646667 | Barbara Moyer | Clinical Neuropsychologist | 5580 E 2nd St Ste 210, Long Beach, CA 90803-3959 | 2007-04-13 |
| 1205918745 | Daniel Edward Zehler | Clinical Neuropsychologist | 4137 E 7th St, Long Beach, CA 90804-5311 | 2006-10-20 |
| 1518049238 | Andrea Lyn Todd | Clinical Neuropsychologist | 542 Arbor Station Dr, Long Beach, MS 39560-5741 | 2006-10-20 |
| 1720181027 | Jeffrey Stockwell Webster | Clinical Neuropsychologist | 5901 E. 7 Street, Va Medical Center (116b), Long Beach, CA 90822-5201 | 2006-09-06 |
| 1215263124 | Tiffany Sabrina Barr | Clinical Neuropsychologist | 5901 E 7th St, Long Beach, CA 90822-5201 | 2009-10-28 |
| 1295814150 | John Knippa | Clinical Neuropsychologist | 1650 Ximeno Ave, #230, Long Beach, CA 90804-2150 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
| 1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
| 1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
| 1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
| 1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
| 1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
| 1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
| 1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
| City | LONG BEACH |
| Zip Code | 90822 |
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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.