Zachary Robert Shindorf, is a
Psychologist - Clinical Child & Adolescent based in Boys Town, Nebraska. Zachary Robert Shindorf is licensed to practice in Rhode Island (license number PS01912) and his current practice location is
13460 Walsh Dr, Boys Town, Nebraska. He can be reached at his office (for appointments etc.) via phone at
(531) 355-3358.
NPI number for Zachary Robert Shindorf is 1952891624 and his current mailing address is 117 Ellenfield St Ste 101, Providence, Rhode Island. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952891624.
Healthcare Provider's Profile
Full Name | Zachary Robert Shindorf |
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Gender | Male |
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Speciality | Psychologist - Clinical Child & Adolescent |
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Location | 13460 Walsh Dr, Boys Town, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952891624
- Provider Enumeration Date: 05/17/2018
- Last Update Date: 11/16/2020
Medical Identifiers
Medical identifiers for Zachary Robert Shindorf such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952891624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 11459 (Nebraska) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | PS01912 (Rhode Island) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Zachary Robert Shindorf is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Zachary Robert Shindorf, 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: (401) 444-6779 | Zachary Robert Shindorf, 13460 Walsh Dr, Boys Town, NE 68010-7529 Ph: (531) 355-3358 |
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