Gregory O Simonsen, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

31146 Issued in TX

Practice address

3811 Turtle Creek Blvd.
Suite 305
Dallas, TX 75219-4542

Phone

(214) 443-7808

Fax

(214) 443-7807

NPI assigned

Apr 19, 2006

Last updated

Apr 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in TX

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

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spiris Group LLC

  dba Simonsen & Shepard Behavioral Health

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1902131956
  Medicare reassignment
• Spiris Group LLC

  dba Simonsen Shepard Behavioral Health

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1710106885
  NPD

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1356306690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 TURTLE CREEK BLVD.",
            "address_2": "SUITE 305",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194542",
            "telephone_number": "214-443-7808",
            "fax_number": "214-443-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 TURTLE CREEK BLVD.",
            "address_2": "SUITE 305",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194542",
            "telephone_number": "214-443-7808",
            "fax_number": "214-443-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONSEN",
        "first_name": "GREGORY",
        "middle_name": "O",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "31146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031205-03",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Ann Simon
• Walter Simon, M.D.
• Svetlana Simonovich, DDS
• Cynthia Ann Simons, M.A., LPC
• Whitney Simons
• Robert B Simonson, DO
• Charles Thomas Simonton, M.D.
• Kara Michelle Simonton, MSN, CNM, WHNP
• Kimberly Simpkins, OTR
• Nicole Simpkins, MD

• Counseling Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.