Melinda J Simon, PSY D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301009976 Issued in MI

Practice address

5123 W St Joe Hwy
Suite 103
Lansing, MI 48917-4093

Phone

(517) 323-4099

Fax

(513) 323-3334

NPI assigned

Jul 28, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jonathan M. Blair PHD, PLLC

  • Psychologist
  • Lansing, MI
  • NPI 1154764827
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1184638587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 W ST JOE HWY",
            "address_2": "SUITE 103",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174093",
            "telephone_number": "517-323-4099",
            "fax_number": "513-323-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 W ST JOE HWY",
            "address_2": "SUITE 103",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174093",
            "telephone_number": "517-323-4099",
            "fax_number": "513-323-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MELINDA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "680B345180",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jelena Alethea Simon
• Jessica Simon, R.N.
• Julie Simon, PA
• Katherine Simon
• Lindsey Simon, LLMSW
• Shane Simon, SWT
• Steven Simonelli
• Rachel Simons
• Simply Chiropractic & Rehab Center PLLC
• Simply Results LLC

• Psychologist in Lansing, MI
• Providers in Lansing, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.