Simon M Trutt, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

017498 Issued in CT

Practice address

58 West LN
Ridgefield, CT 06877-4916

Phone

(503) 724-0291

NPI assigned

Jan 11, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1659641389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 NE 16TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122310",
            "telephone_number": "503-282-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 WEST LN",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774916",
            "telephone_number": "503-724-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUTT",
        "first_name": "SIMON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "017498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tooth Fairy Pediatric Dentistry
• Alessandra Tornatore, BCBA
• Town of Ridgefield
• Raymond Tran, PHARMD
• Marisol Troche, MS.ED, LPC
• Kevin Tse
• Pamela Welch Tunnell, D.C.
• Dalip Turkeshi, LDO
• Fred H Turpin, DMIN
• United Assessment LLC

• Psychiatry Physician in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.