Individual provider Active NPI

Steven E. Simminger, PH.D.

  • Psychologist
  • Media, PA
National Provider Identifier
1568462232
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS 002213L Issued in PA
Practice address
10 Courtney LN
Media, PA 19063-2145
Phone
(610) 565-7703
Fax
(610) 565-2039
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS 002213L PA Primary
Clinical Psychologist 103TC0700X PS 002213L PA
Clinical Child & Adolescent Psychologist 103TC2200X PS 002213L PA
Family Psychologist 103TF0000X PS 002213L PA

Addresses

Primary practice location

10 Courtney LN
Media, PA 19063-2145

Mailing address

10 Courtney LN
Media, PA 19063-2145
Phone (610) 565-7703

Other identifiers 3

IdentifierTypeStateIssuer
750OtherASPPB
21497OtherNATIONAL REGISTER
PS 002213LOtherPAPSYCHOLOGIST LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20110719000252 PA Practitioner - Clinical Psychologist 3274701297 Reassigns benefits to 1 organization
Practice locations: Media, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

1055 E Baltimore Pike
Media, PA 19063-5173
Phone (610) 892-3800

2010 W Chester Pike
Suite 314
Havertown, PA 19083-2737
Phone (610) 892-3800

780 E Market St
West Chester, PA 19382-4882
Phone (610) 892-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS 002213LPAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc CurrentSince Oct 29, 2015 Accepting new patients

Locations

2010 W Chester Pike
Ste 314
Havertown, PA 19083
Phone (412) 736-6551

1055 E Baltimore Pike
Ste 303
Media, PA 19063
Phone (267) 807-3169

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

Interoperability endpoints

  • Direct secure messaging: dcp.stevensimminger@141748.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289433600000",
    "number": "1568462232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COURTNEY LN",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632145",
            "telephone_number": "610-565-7703",
            "fax_number": "610-565-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COURTNEY LN",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632145",
            "telephone_number": "610-565-7703",
            "fax_number": "610-565-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMINGER",
        "first_name": "STEVEN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2010-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS 002213L",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS 002213L",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS 002213L",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "PA",
            "license": "PS 002213L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASPPB",
            "identifier": "750",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL REGISTER",
            "identifier": "21497",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "PS 002213L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.