Charissa Akia Simon, PHD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Practice address

1100 W Lake Cook Rd # 210
Buffalo Grove, IL 60089-2083

Phone

(847) 979-0268

NPI assigned

Feb 23, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Progressive Psychological Healthcare, S.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buffalo Grove, IL
  • NPI 1902287923
  NPD
• Marianna Tsaran MD SC

  • Specialist
  • Arlington Heights, IL
  • NPI 1134283203
  NPD (past)

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

{
    "created_epoch": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1356615280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W LAKE COOK RD # 210",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892083",
            "telephone_number": "847-979-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W LAKE COOK RD # 210",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892083",
            "telephone_number": "847-979-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "CHARISSA",
        "middle_name": "AKIA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shreenath Keshav Shivani Parul Devi Dental Group
• Neal Shukla, DPM
• Slava Shul, CMT
• Robin L Sidell
• Jay H Silver, RPH
• Holly Robin Simon, MS CCC/SLP
• Michael J. Simon, D.M.D.
• Marina Simonoff, PHARMACIST
• Nicholas Sinclair, PHARMD
• Samantha Irene Sisto

• Cognitive & Behavioral Psychologist in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Cognitive & Behavioral Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.