Kathleen Anne Simon, M.A., CCC-LSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

026010 Issued in NY

Practice address

3701 Main St
Hinsdale, NY 14743-9769

Phone

(716) 557-2227

Fax

(716) 557-2259

NPI assigned

Aug 21, 2016

Last updated

Aug 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hinsdale Central School

  • Local Education Agency (LEA)
  • Hinsdale, NY
  • NPI 1790841567
  NPD (past)

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

{
    "created_epoch": "1471737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1518412444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 MAIN ST",
            "city": "HINSDALE",
            "state": "NY",
            "postal_code": "147439769",
            "telephone_number": "716-557-2227",
            "fax_number": "716-557-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 MAIN ST",
            "city": "HINSDALE",
            "state": "NY",
            "postal_code": "147439769",
            "telephone_number": "716-557-2227",
            "fax_number": "716-557-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "KATHLEEN",
        "middle_name": "ANNE",
        "credential": "M.A., CCC-LSLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-21",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "026010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hinsdale Central School
• Hinsdale Fire District
• Ellen Loveless, LMHC
• Laurie Oliver, LMT
• Ronald R. Johnson (Underwood Manor LLHCSA)
• Nathan Richard Smith, PHARMD, MFT
• Underwood Gardens, LLC (Willow Creek)

• Speech-Language Pathologist in Hinsdale, NY
• Providers in Hinsdale, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.