Organization Active NPI

Miriam Simon, Inc.

  • Clinic/Center
  • Valley Stream, NY
National Provider Identifier
1033512256
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
076796-1 Issued in NY
Legal business name
MIRIAM SIMON, INC.
Practice address
878 Longacre Ave
Valley Stream, NY 11581-3510
Phone
(917) 687-1931
NPI assigned
Oct 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Miss Miriam Bryna Simon, LCSWNPI 1295795763
Title
Therapist
Phone
(917) 687-1931

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 076796-1 NY Primary

Addresses

Primary practice location

878 Longacre Ave
Valley Stream, NY 11581-3510

Mailing address

878 Longacre Ave
Valley Stream, NY 11581-3510
Phone (917) 687-1931

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1033512256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 LONGACRE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813510",
            "telephone_number": "917-687-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 LONGACRE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813510",
            "telephone_number": "917-687-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM SIMON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "BRYNA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "917-687-1931",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "076796-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.