Sherry A Simon, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4728 Issued in OH

Practice address

6400 Monroe St
Suite E
Sylvania, OH 43560-1453

Phone

(419) 885-4121

Fax

(419) 885-6121

NPI assigned

Aug 15, 2006

Sex

Female

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 OH

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

Wright State University Boonshoft School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1497768956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4862 SPRINGBROOK DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151182",
            "telephone_number": "419-885-4121",
            "fax_number": "419-885-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 MONROE ST",
            "address_2": "SUITE E",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435601453",
            "telephone_number": "419-885-4121",
            "fax_number": "419-885-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "SHERRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Siler
• Molly Elizabeth Silveus, NP-C
• Jennifer Simmons, CNP
• Eugene S. Simon, DDS, MS
• Melissa Simon, LMT(MASSAGE THERAPIS
• Jon H. Simpson, D.C.
• Lynda Marie Singer, CNP
• Eilynn K Sipe, M.D.
• Abigail Skiba, OTR/L, OTD
• Alicia Skorich, PT, DPT

• Clinical Psychologist in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.