Simonson Psychological Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3450 Issued in MN

Legal business name

SIMONSON PSYCHOLOGICAL SERVICES

Practice address

10267 University Ave
#203
Blaine, MN 55434

Phone

(763) 639-7462

Fax

(763) 786-5462

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Paul Simonson, MS LP

Title

President Psychologist

Phone

(763) 639-7462

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407907397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10267 UNIVERSITY AVE NE",
            "address_2": "SUITE 203",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "55434",
            "telephone_number": "763-639-7462",
            "fax_number": "763-786-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10267 UNIVERSITY AVE",
            "address_2": "#203",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "55434",
            "telephone_number": "763-639-7462",
            "fax_number": "763-786-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONSON PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMONSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT PSYCHOLOGIST",
        "authorized_official_telephone_number": "763-639-7462",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MN",
            "license": "3450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE CROSS BLUE SHIE",
            "identifier": "53M835I",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Suellen Shoemaker, RN
• Susan Marie Siegel Brown, RN
• Krystal Sievert
• William Scott Sievert, MD
• Signcal Human Services
• Stephanie Simpson
• Rachel Sinnen, PA-C
• Megan Marie Sis, OD, MS, FAAO
• Sisters Supportive Living LLC
• Stephen Sitrin, M.D.

• Psychologist in Blaine, MN
• Providers in Blaine, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.