Simon A. Zysman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

68006483 Issued in NY

Practice address

278 E Main St
Smithtown, NY 11787-2920

Phone

(631) 361-6960

Fax

(631) 366-5346

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678

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.

• Employee Assistance Resource Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Smithtown, NY
  • NPI 1720196942
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487762670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872920",
            "telephone_number": "631-361-6960",
            "fax_number": "631-366-5346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872920",
            "telephone_number": "631-361-6960",
            "fax_number": "631-366-5346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYSMAN",
        "first_name": "SIMON",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "68006483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Zoffranieri
• Nicholas Zuccala, D.C.
• Lawrence Zuckerman, ED.D.,MSW
• Mark Julian Zuckerman, MD
• Lawrence Zweibel, MD
• Warren David Zysman, LCSW-R, LMSW, CASAC

• Clinical Psychologist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.