Stacey H Simon, MA CCC -SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

41Y00243000 Issued in NJ

Practice address

190 Park Ave
Morristown, NJ 07960-4649

Phone

(973) 292-6555

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033234521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 PENNS WAY",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079203063",
            "telephone_number": "908-542-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 PARK AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604649",
            "telephone_number": "973-292-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "STACEY",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "MA CCC -SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41Y00243000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven J Silverman, D.D.S. ,M.D.
• Dana Mallory Silverstein, MD
• Daniel D Silverstein, MD
• Victoria Simeone, LCSW
• Ydelci Stephanie Simo, MD
• Simply Healing Trauma Inc
• Michael Simpson, MD
• Jason Herbert Sing
• David Singer, MD
• Abhishek Singh, M.D., PHD

• Speech-Language Pathologist in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.