Matthew D Simon, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6724 Issued in FL

Practice address

7469 NW 4TH St
Plantation, FL 33317-2216

Phone

(954) 792-0772

Fax

(954) 792-1221

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychological Testing Associates, Inc

  • Clinical Psychologist
  • Plantation, FL
  • NPI 1508983503
  Medicare reassignment Authorized official
• Keller Simon Healthcare & Associates, LLC

  • Psychiatry Physician
  • Plantation, FL
  • NPI 1326389131
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1013990266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7469 NW 4TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172216",
            "telephone_number": "954-792-0772",
            "fax_number": "954-792-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7469 NW 4TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172216",
            "telephone_number": "954-792-0772",
            "fax_number": "954-792-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter P Simek, MD
• Diane Marie Simeoni, MS
• Genae Simmonds, APRN FNP-BC
• Simon Speech Solutions LLC
• Elizabeth Simon, PA-C
• Rebecca Simon
• Richard Simon, MD
• Samantha Nicole Simon, FNP-BC
• Jamie Simonson, CRNA
• Adam M Simpson, PHARMD.

• Clinical Psychologist in Plantation, FL
• Providers in Plantation, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.