Organization Active NPI

Dr. Simone & Associates

  • Community Health Clinic/Center
  • Kankakee, IL
National Provider Identifier
1497217509
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
DR. SIMONE & ASSOCIATES
Practice address
213 E Court St Ste 220
Kankakee, IL 60901-3824
Phone
(815) 258-6685
NPI assigned
Apr 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Authorized official

Name
James Simone, PSYD
Title
Psychologist
Phone
(815) 258-6685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

213 E Court St Ste 220
Kankakee, IL 60901-3824

Mailing address

213 E Court St Ste 220
Kankakee, IL 60901-3824

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554422400000",
    "number": "1497217509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 E COURT ST STE 220",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 E COURT ST STE 220",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013824",
            "telephone_number": "815-258-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SIMONE & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A",
        "authorized_official_last_name": "SIMONE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "815-258-6685",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.