Organization Active NPI

Simon Psychology, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Palatine, IL
National Provider Identifier
1568991263
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
071008793 Issued in IL
Legal business name
SIMON PSYCHOLOGY, P.C.
Practice address
800 E Northwest Hwy Ste 500
Palatine, IL 60074-6511
Phone
(847) 701-4273
NPI assigned
Jun 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Brittany Simon, PSY.D.NPI 1184066383
Title
President
Phone
(847) 701-4273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 071008793 IL Primary

Addresses

Primary practice location

800 E Northwest Hwy Ste 500
Palatine, IL 60074-6511

Mailing address

800 E Northwest Hwy Ste 500
Palatine, IL 60074-6511
Phone (847) 701-4273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171206003485 IL Part B Supplier - Clinic/Group Practice 1658638226 Receives reassigned benefits from 1 practitioner
Practice locations: Palatine, IL

National Provider Directory

National Provider Directory

Locations

800 E Northwest Hwy
Ste 500
Palatine, IL 60074
Phone (847) 701-4273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1568991263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY STE 500",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746511",
            "telephone_number": "847-701-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E NORTHWEST HWY STE 500",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600746511",
            "telephone_number": "847-701-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMON PSYCHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-701-4273",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "071008793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.