Michael G Simonds, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY7308 Issued in FL

Practice address

1620 W Oakland Park Blvd Ste 403
Oakland Park, FL 33311-1533

Phone

(954) 486-8899

Fax

(954) 567-0022

NPI assigned

Dec 1, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1659355808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 W OAKLAND PARK BLVD STE 403",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111533",
            "telephone_number": "954-486-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 W OAKLAND PARK BLVD STE 403",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333111533",
            "telephone_number": "954-486-8899",
            "fax_number": "954-567-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONDS",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY7308",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Joseph Shapiro, R.K.T.
• Medha Sharma, M.D.
• Creshun T Sheely, RESPIRATORY
• Monica Ashley Shuhala
• Silver Lightning Home Health Care, LLC.
• Craig S Singer, DC
• Lisa Nadira Singh
• Evan Jay Slatkin, D.C.
• Bella Small, MS, CAC
• Allison Smalling

• Clinical Psychologist in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.