Bennett Simon, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

33108 Issued in MA

Practice address

44B Burroughs St
Jamaica Plain, MA 02130-4016

Phone

(617) 983-8733

Fax

(617) 983-1877

NPI assigned

Jan 22, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043364649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44B BURROUGHS ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304016",
            "telephone_number": "617-983-8733",
            "fax_number": "617-983-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44B BURROUGHS ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021304016",
            "telephone_number": "617-983-8733",
            "fax_number": "617-983-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "BENNETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "33108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "SIB11362",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Sila, MD
• Karen Ann Siller, MD
• Wendy Silverman, RN
• Katherine E Simmonds, NP
• Yukaima Simmons
• Marion Merrick Simoneau, LICSW
• Krystal Amber Singh
• Donnell Singleton
• Luisa Siniscalchi
• Ryan James Sirois, LICSW

• Psychiatry Physician in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Psychiatry Physician in Massachusetts

• 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.