ZIMMERMAN THERAPY GROUP (NPI# 1689297475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689297475 |
| Entity Type | Organization |
| Organization Name | ZIMMERMAN THERAPY GROUP |
| Practice Address |
644 Pollasky Ave Ste 203 Clovis CA 93612-1883 |
| Practice Telephone | 5593874123 |
| Mailing Telephone | 5593874123 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | STEPHANIE ZIMMERMAN (CEO) |
| Authorized Official Telephone | 5593874123 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Zimmerman Marriage and Family Therapy | Former Legal Business Name - Organization |
| Street Address |
644 POLLASKY AVE STE 203 |
| City | CLOVIS |
| State | CA |
| Zip Code | 93612-1883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659500353 | Stephanie R Zimmerman | Marriage & Family Therapist | 644 Pollasky Ave Ste 203, Clovis, CA 93612-1883 | 2009-07-02 |
| 1629678636 | Danielle Dickie | Marriage & Family Therapist | 644 Pollasky Ave Ste 203, Clovis, CA 93612-1883 | 2020-10-28 |
| 1013531771 | Nicolyn Trevino | Marriage & Family Therapist | 644 Pollasky Ave Ste 203, Clovis, CA 93612-1883 | 2020-05-28 |
| 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 | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693187 | Gregory L. Tanner | Marriage & Family Therapist | 2121 Herndon Ave, Clovis, CA 93611-6302 | 2020-09-12 |
| 1922629310 | Donna Dodd | Marriage & Family Therapist | 1111 Polson Ave, Clovis, CA 93612-0450 | 2020-04-27 |
| 1417586355 | Renew Counseling Center | Marriage & Family Therapist | 1002 Las Rosas Ave, Clovis, CA 93619-7937 | 2020-04-03 |
| 1568005551 | Karen Huckaby | Marriage & Family Therapist | 150 Clovis Ave Ste 204, Clovis, CA 93612-1167 | 2019-10-22 |
| 1851869424 | Maryanita Price | Marriage & Family Therapist | 3223 Monviso Ln, Clovis, CA 93619-5411 | 2018-11-12 |
| 1215416391 | Samantha Lewis | Marriage & Family Therapist | 530 Dewitt Ave Ste 101, Clovis, CA 93612-1857 | 2018-08-09 |
| 1093257271 | Julie Ann Barrett | Marriage & Family Therapist | 1049 N Citadel Ave, Clovis, CA 93611-6765 | 2016-11-05 |
| 1962896654 | Deborah Tobias Gatewood | Marriage & Family Therapist | 2788 Scott Ave, Clovis, CA 93611-6975 | 2015-03-20 |
| 1376947069 | Vania Djavid | Marriage & Family Therapist | 1715 Glen Kippen Ln, Clovis, CA 93619-2870 | 2014-10-09 |
| 1881093078 | Candice Marie Newsum | Marriage & Family Therapist | 2381 Ryan Ave, Clovis, CA 93611-5079 | 2014-08-14 |
| 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.