Individual provider Active NPI

Melissa Nicole Simone

  • Behavior Analyst
  • Morris Plains, NJ
National Provider Identifier
1083395685
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
1 Forest CT
Morris Plains, NJ 07950-2514
Phone
(973) 722-9693
NPI assigned
Jul 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00627400 NJ
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

1 Forest CT
Morris Plains, NJ 07950-2514

Mailing address

69 Grand PL
Kearny, NJ 07032-1842
Phone (201) 887-0754

Other practice location 1

69 Grand Pl
Kearny, NJ 07032-1842
Phone (201) 887-0754

Other practice location 2

28 Millburn Ave Ste 9
Springfield, NJ 07081-1023
Phone (201) 887-0754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37AC00627400NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hand Over Hand, LLC PastSince May 12, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1083395685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 GRAND PL",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070321842",
            "telephone_number": "201-887-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FOREST CT",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079502514",
            "telephone_number": "973-722-9693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 Grand Pl",
            "address_purpose": "LOCATION",
            "city": "Kearny",
            "state": "NJ",
            "postal_code": "070321842",
            "country_code": "US",
            "telephone_number": "201-887-0754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Millburn Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "NJ",
            "postal_code": "070811023",
            "country_code": "US",
            "telephone_number": "201-887-0754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONE",
        "first_name": "MELISSA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-26",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00627400",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.