Svetlana Simovic, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

45234 Issued in MN

Practice address

1295 Bandana Blvd N
Suite 142
Saint Paul, MN 55108-5126

Phone

(651) 241-9800

NPI assigned

Nov 2, 2006

Last updated

Dec 6, 2011By 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

Other identifiers 1

Other names 1

• Dr. Svetlana Jevremovic Simovic Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1548348600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071321",
            "telephone_number": "612-262-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 BANDANA BLVD N",
            "address_2": "SUITE 142",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085126",
            "telephone_number": "651-241-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMOVIC",
        "first_name": "SVETLANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "45234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SVETLANA",
            "last_name": "JEVREMOVIC SIMOVIC",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peter Simones, LPN
• Megan Simonet, PA-C
• Diana L Simonpietri, CNM
• Grant Peter Simonson, MD
• Sandra Kay Simonson, MS, LICSW
• Ted Simper
• Simple Transportation LLC
• Simplicity Home Care LLC
• Alyana Marie Louisse D. Simpron, MOT, OTR/L
• Nikole M Simpson Mitchell

• Psychiatry Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.