Active NPI
Linda Berner Simnowitz, PH.D.
- Clinical Psychologist
- Great Neck, NY
National Provider Identifier
1366570475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 014166-1
- Practice address
- 75 South Middle Neck Road
Apt. 2S
Great Neck, NY 11021-3440 - Phone
- (516) 498-2930
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 014166-1 | NY | Primary |
Addresses
Primary practice location
75 South Middle Neck Road
Apt. 2S
Great Neck, NY 11021-3440
Mailing address
75 South Middle Neck Road
Apt. 2S
Great Neck, NY 11021-3440
Phone (516) 498-2930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014166 | NY | MD | Occupational Therapist |
| 014166-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366570475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 SOUTH MIDDLE NECK ROAD",
"address_2": "APT. 2S",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110213440",
"telephone_number": "516-498-2930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 SOUTH MIDDLE NECK ROAD",
"address_2": "APT. 2S",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110213440",
"telephone_number": "516-498-2930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMNOWITZ",
"first_name": "LINDA",
"middle_name": "BERNER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "014166-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.