Active NPI
Simone Presley
- Behavior Analyst
- Mooresville, NC
National Provider Identifier
1679017883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 134 Infield CT
Mooresville, NC 28117-8026 - Phone
- (704) 799-6824
- Fax
- (704) 799-6825
- NPI assigned
- Dec 6, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- Pediatric Occupational Therapist
- Mooresville, NC
- NPI 1508849332
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Therapy Concepts | Past | Accepting new patients | |
| Lolly Therapeutics, LLC | Behavior Analyst | Past | Accepting new patients |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
134 Infield CT
Mooresville, NC 28117-8026
Mailing address
134 Infield CT
Mooresville, NC 28117-8026
Phone (704) 799-6824
Other practice location 1
615 W 37th St
San Pedro, CA 90731-6977
Phone (855) 832-6727
Other practice location 2
280 Charlois Blvd
Winston Salem, NC 27103-1588
Phone (704) 799-6824
NPI Registry JSON
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1679017883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 INFIELD CT",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178026",
"telephone_number": "704-799-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 INFIELD CT",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178026",
"telephone_number": "704-799-6824",
"fax_number": "704-799-6825"
}
],
"practiceLocations": [
{
"address_1": "615 W 37th St",
"address_purpose": "LOCATION",
"city": "San Pedro",
"state": "CA",
"postal_code": "907316977",
"country_code": "US",
"telephone_number": "855-832-6727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "280 Charlois Blvd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271031588",
"country_code": "US",
"telephone_number": "704-799-6824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRESLEY",
"first_name": "SIMONE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-12-06",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.