Active NPI
Iris Simon, MS NPP BC
- Psychiatric/Mental Health Nurse Practitioner
- Rockville Centre, NY
National Provider Identifier
1386869972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F400559-1
- Practice address
- 55 Greystone Rd
Rockville Centre, NY 11570-4512 - Phone
- (516) 766-0338
- NPI assigned
- Apr 17, 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F400559-1 | NY | Primary |
Addresses
Primary practice location
55 Greystone Rd
Rockville Centre, NY 11570-4512
Mailing address
55 Greystone Rd
Rockville Centre, NY 11570-4512
Phone (516) 766-0338
Other names 1
- Iris Marlene Hausman
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F400559-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karat Health, Inc. | Past | Accepting new patients | |
| Park Avenue Medical Associates, P.C. | Past | Accepting new patients | |
| Samuel Field Ym&Ywha | Past | Accepting new patients | |
| United Cerebral Palsy Assoc of Nys Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Behavioral Neurology & Neuropsychiatry Physician
- Long Island City, NY
- NPI 1093228801
-
- Geriatric Medicine (Family Medicine) Physician
- White Plains, NY
- NPI 1730138645
-
- Adult Mental Health Clinic/Center
- Little Neck, NY
- NPI 1205862950
-
- Clinic/Center
- Woodside, NY
- NPI 1255496642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1386869972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 GREYSTONE RD",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115704512",
"telephone_number": "516-766-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 GREYSTONE RD",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115704512",
"telephone_number": "516-766-0338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "IRIS",
"credential": "MS NPP BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F400559-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "IRIS",
"last_name": "HAUSMAN",
"middle_name": "MARLENE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.