Jessica E. Simmonds, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY18241 Issued in CA

Practice address

160 Aleshire Avenue
Schofield Barracks, HI 96857

Phone

(315) 433-8638

NPI assigned

Jul 20, 2006

Last updated

Jul 16, 2024By the provider in NPPES

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1760402044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 LARRABEE ST",
            "address_2": "# 7",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692090",
            "telephone_number": "310-657-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ALESHIRE AVENUE",
            "city": "SCHOFIELD BARRACKS",
            "state": "HI",
            "postal_code": "96857",
            "telephone_number": "315-433-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONDS",
        "first_name": "JESSICA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiorela Ruiz, LCSW
• Zachary D Russell, DDS
• Ryan Savage, OTR/L
• Schofield Vision Center, Inc.
• Shawn J Scott, P.T.
• Priscilla Fuentes Smith, LCSW
• Ryan Connor Smith, DDS
• Stacey Tillman Suttles, PA-C
• Sandra Jamilla Tajon, RDH
• Mildred Tang

• Clinical Psychologist in Schofield Barracks, HI
• Providers in Schofield Barracks, HI by specialty
• Clinical Psychologist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.