Active NPI
Christopher T Simonet, PH.D.
- Psychologist
- El Cajon, CA
National Provider Identifier
1235263351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY16314
- Practice address
- 1541 Shadow Knolls CT
El Cajon, CA 92020-8437 - Phone
- (619) 208-4592
- Fax
- (619) 334-2622
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- No
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 | PSY16314 | CA | Primary |
Addresses
Primary practice location
1541 Shadow Knolls CT
El Cajon, CA 92020-8437
Mailing address
964 5TH Ave # 435
San Diego, CA 92101-6102
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY16314 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1235263351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "964 5TH AVE # 435",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921016102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 SHADOW KNOLLS CT",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920208437",
"telephone_number": "619-208-4592",
"fax_number": "619-334-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONET",
"first_name": "CHRISTOPHER",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY16314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.