SHAWN L. ZIMMERMAN, PHD, LLC
NPI 1346502069
Community/Behavioral Health in Maitland, FL

NPI Status: Active since June 08, 2012

Contact Information

549 N WYMORE RD
SUITE 209
MAITLAND, FL
ZIP 32751
Phone: (407) 580-6997
Fax: (407) 628-9437

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  • Organization
  • Community/Behavioral Health

About SHAWN L. ZIMMERMAN, PHD, LLC

This page provides the complete NPI Profile along with additional information for Shawn L. Zimmerman, Phd, Llc, a provider established in Maitland, Florida operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1346502069 assigned on June 2012. The practitioner's primary taxonomy code is 251S00000X with license number MH 9575 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Shawn Lee Zimmerman Phd (Owner)

NPI
1346502069
Provider Name
SHAWN L. ZIMMERMAN, PHD, LLC
Entity Type
Organization
Location Address
549 N WYMORE RD SUITE 209 MAITLAND, FL 32751
Location Phone
(407) 580-6997
Location Fax
(407) 628-9437
Mailing Address
549 N WYMORE RD SUITE 209 MAITLAND, FL 32751
Mailing Phone
(407) 580-6997
Mailing Fax
(407) 628-9437
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-08-2012
Last Update Date
06-08-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
MH 9575
License State
FL
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251S00000XAgencies

Community/Behavioral Health

PSYCHOLOGIST 2721 (CO)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SHAWN LEE ZIMMERMAN PHD

Authorized Official Title
OWNER
Authorized Official Phone
(407) 580-6997

Reviews for SHAWN L. ZIMMERMAN, PHD, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346502069
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23861004012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 1 + 0 + 0 + 4 + 0 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1346502069 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1528284494MRS. FAITH RENEE BUHLER LMT
Individual
Massage Therapist549 N WYMORE RD SUITE 209
MAITLAND, FL 32751
(321) 441-6078
1427344506DR. SHAWN LEE ZIMMERMAN PHD
Individual
Counselor (Mental Health)549 N WYMORE RD SUITE 209
MAITLAND, FL 32751
(407) 580-6997
1164812020JOINT EFFORT MANUAL PHYSICAL THERAPY
Organization
Clinic/Center (Physical Therapy)549 N WYMORE RD SUITE 108
MAITLAND, FL 32751
(407) 628-9436
1720446065RESOLVE COUNSELING LLC
Organization
Community/Behavioral Health549 N WYMORE RD SUITE 101
MAITLAND, FL 32751
(407) 801-6210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346502069, enumerated in the NPI registry as an "organization" on June 08, 2012

The provider is located at 549 N Wymore Rd Suite 209 Maitland, Fl 32751 and the phone number is (407) 580-6997

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

This NPI record was last updated on June 08, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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