Marta Simopoulos Pickens, PH.D., CLINICAL PSYC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19844 Issued in CA

Practice address

4944 Windplay Dr.
St. 320
El Dorado Hills, CA 95672

Phone

(916) 933-4195

Fax

(530) 672-2418

NPI assigned

Jan 14, 2014

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

Other names 1

• Marta Marie Simopoulos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1134541998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 WINDPLAY DR.",
            "address_2": "ST. 320",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "95672",
            "telephone_number": "916-933-4195",
            "fax_number": "530-672-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4944 WINDPLAY DR.",
            "address_2": "ST. 320",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "95672",
            "telephone_number": "916-933-4195",
            "fax_number": "530-672-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMOPOULOS PICKENS",
        "first_name": "MARTA",
        "credential": "PH.D., CLINICAL PSYC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTA",
            "last_name": "SIMOPOULOS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mandie Shumaker
• Sierra Medical Partnership
• Stefanie Silva
• Robert W. Silver, P.T.
• Ronald James Simms, D.C.
• Jason Allan Singer, CADTP SUDRC
• Sixth Optometric Care of California PC
• Adam Skirpstunas
• Salina Marie Skrzyniarz, DC,CACCP
• Josephine Lee Slavensky

• Clinical Psychologist in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.