Active NPI
Joshua Simon, MD
- Child & Adolescent Psychiatry Physician
- Marana, AZ
National Provider Identifier
1659467124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 50826
- Practice address
- 13395 N Marana Main St BLDG B
Marana, AZ 85653-7008 - Phone
- (520) 682-1091
- Fax
- (520) 682-4132
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 50826 | AZ | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 50826 | AZ | Primary |
Addresses
Primary practice location
13395 N Marana Main St BLDG B
Marana, AZ 85653-7008
Mailing address
PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035917 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50826 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marana Health Center, Inc | Past | Accepting new patients |
Interoperability endpoints
- joshua.simon@1278.direct.myezyaccess.com
- joshua.simon@hca5.eclinicaldirectplus.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.
-
- Clinic Pharmacy
- Tucson, AZ
- NPI 1073072450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696982400000",
"number": "1659467124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "MARANA",
"state": "AZ",
"postal_code": "856530188",
"telephone_number": "520-682-4111",
"fax_number": "520-682-4132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13395 N MARANA MAIN ST BLDG B",
"city": "MARANA",
"state": "AZ",
"postal_code": "856537008",
"telephone_number": "520-682-1091",
"fax_number": "520-682-4132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "JOSHUA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2023-10-11",
"certification_date": "2023-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "50826",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "AZ",
"license": "50826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "035917",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marana, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.