SCOTT W. ZIMOSTRAD PH.D. P.C. NPI 1578738514

NPI Information

  • NPI: 1578738514
  • Provider Name: SCOTT W. ZIMOSTRAD, PH.D., P.C.
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Organization
  • Address: 720 W WACKERLY ST
    SUITE 12
    MIDLAND, MI
    ZIP 48640
  • Phone: (989) 839-6565

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NPI Details

SCOTT W. ZIMOSTRAD, PH.D., P.C. is a clinical neuropsychologist in Midland, MI. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. SCOTT W. ZIMOSTRAD, PH.D., P.C. NPI is 1578738514. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

720 W WACKERLY ST
SUITE 12
MIDLAND, MI
ZIP 48640-769
Phone: (989) 839-6565
Fax: (989) 839-5794

The provider's authorized official is Scott W Zimostrad .
The authorized official title is Owner/administrator and has the following contact phone number (989) 839-6565.

The enumeration date for this NPI number is 4/29/2008 and was last updated on 4/29/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistSZ630100MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10M68930MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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