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DR. RICHARD ZIMMER PH.D.
NPI 1609825868
Psychologist - Clinical in Santa Rosa, CA

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
1049 4TH ST STE G, SANTA ROSA, CA 95404(707) 771-9917 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Zimmer Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD ZIMMER PH.D. (NPI 1609825868) is an individual clinical provider in Santa Rosa, California, licensed in California (PSY14079) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1609825868
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. RICHARD ZIMMERCredential: PH.D.
Location Address1049 4TH ST STE GSanta Rosa, CA 95404-4345
Mailing Address95 Montgomery Dr Ste 222Santa Rosa, CA 95404-6629 · (707) 771-9917 · Fax (707) 542-1970
Phone(707) 771-9917
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateMay 8, 2006
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1609825868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY14079
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1049 4TH ST STE G, Santa Rosa, CA 95404
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Other Identifiers 1

MedicaidPSY140790CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Richard Zimmer Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587789771
PECOS Enrollment IDI20100910000946
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.01 typical visit price
range $63.04 – $187.01
Typical copayment $46.75 (range $15.76 – $46.75)
Most-billed visit code 99205
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREW M LEEDS PHD
Psychologist
1049 4TH ST STE G
SANTA ROSA, CA 95404
Sonoma County (707) 579-9457
MICHAEL NEWMARK PSY.D.
Psychologist
1049 4TH ST STE G
SANTA ROSA, CA 95404
Sonoma County (707) 327-7113
CAITLIN R CASEY LCSW
Social Worker (Clinical)
1049 4TH ST STE G
SANTA ROSA, CA 95404
Sonoma County (530) 340-5818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Zimmer's NPI number?

The NPI number for Richard Zimmer is 1609825868. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Richard Zimmer located?

Richard Zimmer practices at 1049 4th St Ste G, Santa Rosa, CA 95404. The listed phone number is (707) 771-9917.

What is Richard Zimmer's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Richard Zimmer enrolled in Medicare?

Yes. Richard Zimmer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Richard Zimmer accept?

Health plans from Providence Health Plan list Richard Zimmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Zimmer was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.