Pamela D Simon

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

870734 Issued in NY

Practice address

1234 E 83Rd St # 1
Brooklyn, NY 11236-4933

Phone

(718) 209-5465

NPI assigned

Jun 8, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1306575865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 E 83RD ST # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364933",
            "telephone_number": "718-209-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 E 83RD ST # 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364933",
            "telephone_number": "718-209-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "PAMELA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "870734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "UNKNOWN",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pdbs1@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1234 E 83rd St # 1",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112364933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Molly Brownell Simon, LMSW
• Nicolas Oliver Simon, LMSW
• Nicole Simon
• Nicole Monque Simon
• Pamela Adrianne Simon, LCSW
• Rhapsody J Simon, MSED
• Rivka Simon
• Sabine Simon
• Shirley Simon, TEACHER
• Stanley Simon

• Developmentally Disabled Services Day Training Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Developmentally Disabled Services Day Training Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.