Julie Simensky, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6053 Issued in OH

Practice address

4870 W Clark Rd Ste 106
Ypsilanti, MI 48197-1104

Phone

(734) 961-7196

Fax

(734) 961-7196

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• CNS Hospice LLC

  • Community Based Hospice Care Agency
  • Troy, MI
  • NPI 1578830881
  NPD (past)
• Rehabilitation Psychology, Inc.

  • Rehabilitation Psychologist
  • Dublin, OH
  • NPI 1679502553
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1538172283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 W CLARK RD STE 106",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971104",
            "telephone_number": "734-961-7196",
            "fax_number": "734-961-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 W CLARK RD STE 106",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971104",
            "telephone_number": "734-961-7196",
            "fax_number": "734-961-7196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3960 Patient Care Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489114276",
            "country_code": "US",
            "telephone_number": "517-887-9801",
            "fax_number": "517-887-9826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7305 Grand River Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481147378",
            "country_code": "US",
            "telephone_number": "810-588-6377",
            "fax_number": "510-360-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMENSKY",
        "first_name": "JULIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "6053",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "OH",
            "license": "6053",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "6053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2533422",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Beatriz Sierra Lopez, MD
• Signature Care Home Care, Inc
• Laurene Marie Sikorski
• Heather Silander, EDD, CTRS
• Michael S Silverstone, DO
• Shailesh Simkhada, MD
• Anitrus Simmons
• Kewanna Simmons
• Michael R Simon, MD
• Sarah Simon

• Psychologist in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.