Thea Simmons, PSYS, LLP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6361005071 Issued in MI

Practice address

18303 E 10 Mile Rd Ste 200
Roseville, MI 48066

Phone

(313) 881-7345

NPI assigned

Feb 2, 2014

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Richard Kneip, PH.D., P.C.

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  NPD (past)

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

{
    "created_epoch": "1391299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1669895256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18303 E 10 MILE RD STE 200",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664989",
            "telephone_number": "800-693-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18303 E 10 MILE RD STE 200",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "48066",
            "telephone_number": "313-881-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "THEA",
        "name_prefix": "Ms.",
        "credential": "PSYS, LLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-02",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361005071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shores Podiatry Associates, P.C.
• Alok Shukla, M.D
• Fatima Siddiqui, D.D.S.
• Troy Silverthorn, DPT
• Kareen Simmons, LPN
• Simply Weaves LLC
• Leigh Ann Slater, RN
• Sleep Source, LLC
• Sleepcardia LLC
• Angela Smith

• Psychologist in Roseville, MI
• Providers in Roseville, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.