Michael Johm Simon, PH.D

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5778 Issued in NY

Practice address

1473 Rose LN
East Meadow, NY 11554-3618

Phone

(516) 483-0289

Fax

(516) 483-0295

NPI assigned

Jul 26, 2006

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: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Michael Simon PH.D. P.C.

  • Prescribing (Medical) Psychologist
  • East Meadow, NY
  • NPI 1588865935
  NPD (past) Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740204544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 ROSE LN",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543618",
            "telephone_number": "516-483-0289",
            "fax_number": "516-483-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 ROSE LN",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115543618",
            "telephone_number": "516-483-0289",
            "fax_number": "516-483-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "MICHAEL",
        "middle_name": "JOHM",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "5778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Silvestri, ATR-BC, LCAT
• Daniel Simany, DDS
• Simi Joseph Nurse Practitioner in Psychiatry P C
• Jaime B Simon-Marshak, MD
• Kelly Marie Simon-Vanella, DPT
• Sultana Yesmin Simona
• Anupam Singh, MBBS
• Arshdeep Singh
• Jagjeet Singh, M.D.
• Jaskaran Singh

• Mental Health Counselor in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.