Active NPI
Joshua Simeone
- Behavior Analyst
- San Diego, CA
National Provider Identifier
1659819043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-19-36783
- Practice address
- 3945 Normal St
San Diego, CA 92103-3420 - Phone
- (978) 270-8592
- NPI assigned
- Feb 6, 2017
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Behavior Analyst | 103K00000X | 1-19-36783 | Primary |
Addresses
Primary practice location
3945 Normal St
San Diego, CA 92103-3420
Mailing address
6 Southside Rd
Danvers, MA 01923-1409
Phone (978) 626-3725
Other practice location 1
6 Southside Rd
Danvers, MA 01923-1409
Phone (978) 626-3725
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682899200000",
"number": "1659819043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 SOUTHSIDE RD",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231409",
"telephone_number": "978-626-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3945 NORMAL ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033420",
"telephone_number": "978-270-8592"
}
],
"practiceLocations": [
{
"address_1": "6 Southside Rd",
"address_purpose": "LOCATION",
"city": "Danvers",
"state": "MA",
"postal_code": "019231409",
"country_code": "US",
"telephone_number": "978-626-3725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMEONE",
"first_name": "JOSHUA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-06",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-19-36783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.