Active NPI
Christina Gesmundo Simon, MD
- Child & Adolescent Psychiatry Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 2010012945
- Practice address
- 1 Childrens PL
Div Psychiatry, Child and Adolescent
Saint Louis, MO 63110-1002 - Phone
- (314) 286-1700
- Fax
- (314) 286-1777
- NPI assigned
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 2010012945 | MO | Primary |
Addresses
Primary practice location
1 Childrens PL
Div Psychiatry, Child and Adolescent
Saint Louis, MO 63110-1002
Mailing address
4511 Forest Park Ave
Ste 4300
Saint Louis, MO 63108-2138
Phone (314) 286-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205660202 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- BJC Behavioral Health
Practice addresses (Care Compare)
1085 Maple St
Farmington, MO 63640-1955
Phone (573) 756-5353
Hospital & facility affiliations
- Parkland Health Center
- Missouri Baptist Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010012945 | MO | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BJC Behavioral Health | Current | Accepting new patients | |
| Mineral Area Psychiatric Services LLC | Psychiatry | Current | Accepting new patients |
| BJC Behavioral Health | Current | Accepting new patients |
Locations
1085 Maple St
Farmington, MO 63640
Phone (573) 756-5353
1430 Olive St
Ste 500
Saint Louis, MO 63103
Phone (314) 206-3724
3309 S Kingshighway Blvd
Saint Louis, MO 63139
Phone (314) 534-9350
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- cgesmundo1018109@direct.carenet.org
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Louis, MO
- NPI 1669485868
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Farmington, MO
- NPI 1801807847
-
- Psychiatry Physician
- Farmington, MO
- NPI 1306379482
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1003856592
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
- General Acute Care Hospital
- Farmington, MO
- NPI 1003824061
-
- Psychiatric Hospital Unit
- Farmington, MO
- NPI 1902814866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1427217116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4511 FOREST PARK AVE",
"address_2": "STE 4300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082138",
"telephone_number": "314-286-1700",
"fax_number": "314-408-2756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS PL",
"address_2": "DIV PSYCHIATRY, CHILD AND ADOLESCENT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101002",
"telephone_number": "314-286-1700",
"fax_number": "314-286-1777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "CHRISTINA",
"middle_name": "GESMUNDO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2021-11-15",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MO",
"license": "2010012945",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205660202",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "1 Childrens Pl",
"address_2": "Div Psychiatry, Child and Adolescent",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.