Individual provider Active NPI

Brittany Simon, PSY.D.

  • Clinical Psychologist
  • Palatine, IL
National Provider Identifier
1184066383
Registry record updated May 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008793 Issued in IL
Practice address
800 E Northwest Hwy Ste 500
Palatine, IL 60074-6511
Phone
(317) 331-7637
NPI assigned
Jul 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071008793 IL Primary

Addresses

Primary practice location

800 E Northwest Hwy Ste 500
Palatine, IL 60074-6511

Mailing address

800 E Northwest Hwy Ste 500
Palatine, IL 60074-6511
Phone (317) 331-7637

Other names 1

  • Brittany Simon Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171206003498 IL Practitioner - Clinical Psychologist 2567729130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

579 N 1St Bank Dr
Suite 150
Palatine, IL 60067-8102
Phone (847) 701-4273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071008793ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brittany Simon LCPC LLC Current Accepting new patients
Simon Psychology, P.C. CurrentSince Sep 23, 2017 Accepting new patients

Locations

800 E Northwest Hwy
Ste 500
Palatine, IL 60074
Phone (847) 701-4273

579 N 1st Bank Dr
Ste 150
Palatine, IL 60067
Phone (847) 701-4273

Organizations & group practices 2

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1184066383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY STE 500",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746511",
            "telephone_number": "317-331-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY STE 500",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746511",
            "telephone_number": "317-331-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "BRITTANY",
        "name_prefix": "Ms.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "SIMON",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palatine, IL

Sources for this page

Verify at the official NPI Registry.