Simone Andrews, PSY.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

68021603 Issued in NY

Practice address

633 Clove Rd
Staten Island, NY 10310-2736

Phone

(646) 450-9431

NPI assigned

Oct 4, 2016

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1043760929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CRESCENT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103011705",
            "telephone_number": "646-450-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102736",
            "telephone_number": "646-450-9431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Broadway Ste 1003",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100015405",
            "country_code": "US",
            "telephone_number": "646-450-9431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "SIMONE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "68021603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew C. Przybyla, MD,PC
• Adele A Andrews
• Brooke Andrews, RN
• Mavis-Alicia Andrews
• Mercy Andrews, LMSW
• Anita Andrusier
• Danielle Andrusko
• Alexa Christina Andruzzi, PA-C
• Insherah Anees
• Ikechukwu Charles Aneke

• Psychologist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.