Simon Awadis Ovanessian, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

1014448 Issued in MA

Practice address

300 Friberg Pkwy
Westborough, MA 01581-3900

Phone

(508) 329-6300

Fax

(508) 329-6088

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in CT, NY, NJ, MA4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

PsychiatryAlso: Addiction Medicine

Education

New York Medical College, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Nie Health IncGroup PAC ID 0446698039, 6 clinicians

Quannet Health IncGroup PAC ID 1052683406, 5 clinicians

Westborough Behavioral Healthcare Hospital, LLCGroup PAC ID 6305103250, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/BHcare/r4/

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.

• Westborough Behavioral Healthcare Hospital, LLC

  • Psychiatry Physician
  • Westborough, MA
  • NPI 1821565425
  Medicare reassignment Care Compare group NPD
• Quannet Health Inc

  • Internal Medicine Physician
  • White Plains, NY
  • NPI 1871026500

  NJ, Psychiatry

  Medicare reassignment Care Compare group NPD
• Nie Health Inc

  • Health Service Clinic/Center
  • Beverly, MA
  • NPI 1689398786
  Medicare reassignment Care Compare group
• Barnabas Health Medical Group, PC

  • Specialist
  • West Orange, NJ
  • NPI 1447206420
  Medicare reassignment NPD
• Bhcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ansonia, CT
  • NPI 1306042700
  Medicare reassignment NPD
• Neighborhood Health, Inc.

  • General Practice Physician
  • Torrington, CT
  • NPI 1043544489

  Psychiatry

  Medicare reassignment NPD
• Prospect Manchester Hospital, Inc.

  • General Acute Care Hospital
  • Manchester, CT
  • NPI 1316394638
  Medicare reassignment NPD
• The Long Island Home

  • Psychiatric Hospital
  • Amityville, NY
  • NPI 1821394016
  Medicare reassignment NPD
• Prospect Rockville Hospital, Inc.

  • General Acute Care Hospital
  • Vernon, CT
  • NPI 1205283538
  Medicare reassignment
• The Long Island Home

  • Psychiatric Hospital
  • Amityville, NY
  • NPI 1568459204
  NPD
• Westborough Behavioral Healthcare Hospital, LLC

  • Psychiatric Hospital
  • Westborough, MA
  • NPI 1861901910
  NPD (past)
• Dr Ovanessian Treatment Center LLC

  • Addiction Psychiatry Physician
  • Newtown, CT
  • NPI 1164749057
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1376585091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FRIBERG PKWY",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813900",
            "telephone_number": "508-329-6300",
            "fax_number": "508-329-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FRIBERG PKWY",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015813900",
            "telephone_number": "508-329-6300",
            "fax_number": "508-329-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVANESSIAN",
        "first_name": "SIMON",
        "middle_name": "AWADIS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "232261",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "042079",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "1014448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "537053",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3624013",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001420794",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "810698118",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "15-54607",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014448",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1420794",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "343759",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Ann Oliver
• Margaret Oliverio
• Omni Home Care Services LLC
• John Peter Orlando
• Pamela A Ouellette, NP
• Noemi Paciorek
• Audrey J Painchaud, M.D.
• Sarah Julianne Palmer, MD
• Palms Recovery, LLC
• Melissa Marie Paquet, MS, OTR/L

• Psychiatry Physician in Westborough, MA
• Providers in Westborough, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.