Active NPI
Donna Marie Simon, LCSW, BCBA
- Behavior Analyst
- Wall Township, NJ
National Provider Identifier
1689133654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-16-23168
- Practice address
- 2510 Belmar Blvd Unit 19 2ND FL
Wall Township, NJ 07719 - Phone
- (631) 213-5102
- NPI assigned
- Mar 18, 2019
- Last updated
- Sep 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC06107100 | NJ | |
| Behavior Analyst | 103K00000X | 1-16-23168 | NU | Primary |
Addresses
Primary practice location
2510 Belmar Blvd Unit 19 2ND FL
Wall Township, NJ 07719
Mailing address
915 Bennetts Mills Rd Unit 705
Jackson, NJ 08527-8008
Phone (631) 213-5102
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06107100 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Perspective Therapy | Clinical | Current | Accepting new patients |
| Step by Step Behavioral Therapy, LLC | Behavior Analyst | Current | Accepting new patients |
Locations
915 Bennetts Mills Rd
Unit 705
Jackson, NJ 08527
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- West Long Branch, NJ
- NPI 1245947506
-
- Behavior Analyst
- Wall, NJ
- NPI 1811456890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1689133654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 BENNETTS MILLS RD UNIT 705",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085278008",
"telephone_number": "631-213-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 BELMAR BLVD UNIT 19 2ND FL",
"city": "WALL TOWNSHIP",
"state": "NJ",
"postal_code": "07719",
"telephone_number": "631-213-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMON",
"first_name": "DONNA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW, BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-18",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06107100",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NU",
"license": "1-16-23168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wall Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.