Active NPI
Juliet Simon Cooper, PSY. D
- Psychologist
- Ny, NY
National Provider Identifier
1144644907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 012608-1
- Practice address
- 39 E. 78TH St Suite 601
Ny, NY 10075 - Phone
- (917) 494-9396
- NPI assigned
- Feb 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 012608-1 | NY | Primary |
Addresses
Primary practice location
39 E. 78TH St Suite 601
Ny, NY 10075
Mailing address
945 Fifth Ave. Apt 15E
Ny, NY 10021
Phone (917) 494-9396
Other names 1
- Dr. Juliet Simon
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 10, 2023 through Apr 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012608-1 | NY | MD | Physical Therapist |
| 012608 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392249600000",
"number": "1144644907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "945 FIFTH AVE. APT 15E",
"city": "NY",
"state": "NY",
"postal_code": "10021",
"telephone_number": "917-494-9396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 E. 78TH ST SUITE 601",
"city": "NY",
"state": "NY",
"postal_code": "10075",
"telephone_number": "917-494-9396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "JULIET",
"middle_name": "SIMON",
"name_prefix": "Dr.",
"credential": "PSY. D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-13",
"last_updated": "2014-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "012608-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIET",
"last_name": "SIMON",
"prefix": "DR.",
"credential": "PSY. D",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.