Active NPI
J. Joseph De Simone, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1447394283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 010315-1
- Practice address
- 438 W 51St St Ste 307a
New York, NY 10019-6503 - Phone
- (212) 977-4396
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 010315-1 | NY | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 010315-1 | NY | |
| Health Service Psychologist | 103TH0100X | 010315-1 | NY | |
| Group Psychotherapy Psychologist | 103TP2701X | 010315-1 | NY | |
| Clinical Psychologist | 103TC0700X | 010315-1 | NY | Primary |
Addresses
Primary practice location
438 W 51St St Ste 307a
New York, NY 10019-6503
Mailing address
438 W 51St St Ste 307a
New York, NY 10019-6503
Phone (212) 977-4396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010315-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1447394283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 W 51ST ST STE 307A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100196503",
"telephone_number": "212-977-4396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "438 W 51ST ST STE 307A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100196503",
"telephone_number": "212-977-4396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE SIMONE",
"first_name": "J.",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "010315-1",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "010315-1",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "NY",
"license": "010315-1",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NY",
"license": "010315-1",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "010315-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.