JEANIE ZSAMBOK (PHD) – Psychologist, NPI 1053648857

JEANIE ZSAMBOK (PHD) is a healthcare provider. based in Columbus, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 5367 (OH). The NPI Number for JEANIE ZSAMBOK (PHD) is 1053648857

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
JEANIE ZSAMBOK (PHD)
NPI
1053648857
Phone
(614) 459-4490
Address
4624 SAWMILL RD
Enumeration Date
16 November 2009
Last Update Date
16 November 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6144594490
Graduation Year
1997 (29 years ago)
PAC ID
0244467033
Group Practice PAC ID
7719325083
Professional Enrollment ID
I20131227000471
Address ID
OH432202247CO4624XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for JEANIE ZSAMBOK (PHD)

  • 4624, Sawmill Road, Columbus, Franklin, Ohio, 43220, United States

    COLUMBUS, OH 432202247

    Phone: (614) 459-4490

    Fax: (614) 457-3656

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-12-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131227000471IClinical PsychologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes16311$0
View full utilization report →

Insurance plans in this area (ZIP 43220)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719325083View full group profile
NameSpecialtyState
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Marriage And Family TherapistHI
Nurse PractitionerUT
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorUT
Clinical Social WorkerOH
Clinical Social WorkerUT

Reviews

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Frequently asked questions

How do payers reference JEANIE ZSAMBOK (PHD)?
For JEANIE ZSAMBOK (PHD), use NPI 1053648857 as the unique 10-digit identifier.
Is JEANIE ZSAMBOK (PHD) shown as active in public data?
Registry records indicate JEANIE ZSAMBOK (PHD) maintains an active NPI.
What kind of doctor is JEANIE ZSAMBOK (PHD)?
JEANIE ZSAMBOK (PHD) is associated with Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Where in Ohio is JEANIE ZSAMBOK (PHD) registered?
Use Columbus, Ohio as the headline location for JEANIE ZSAMBOK (PHD) here.
Can I trust this NPI listing for JEANIE ZSAMBOK (PHD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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