Healthcare Provider Details

I. General information

NPI: 1215153325
Provider Name (Legal Business Name): ROBERT DAVID ZAPINSKY PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

KAISER PERMANENTE 3420 KENYON ST 2ND FLOOR DEPARTMENT OF PSYCHIATRY
SAN DIEGO CA
92110-5001
US

IV. Provider business mailing address

KAISER PERMANENTE 3420 KENYON ST DEPARTMENT OF PSYCHIATRY 2ND FLOOR
SAN DIEGO CA
92110-5001
US

V. Phone/Fax

Practice location:
  • Phone: 619-221-6170
  • Fax:
Mailing address:
  • Phone: 619-221-6170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 5999
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: