Symone Lewis, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-007064 Issued in IL

Practice address

75 Executive Dr Ste 337
Aurora, IL 60504-8152

Phone

(331) 707-8623

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Symone Norde Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Three Birds Mental Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sycamore, IL
  • NPI 1144141870
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1770503542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 EXECUTIVE DR STE 337",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048152",
            "telephone_number": "331-707-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 EXECUTIVE DR STE 337",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048152",
            "telephone_number": "331-707-8623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "139 Rand Road",
            "address_purpose": "LOCATION",
            "city": "Arlington Hts",
            "state": "IL",
            "postal_code": "600043142",
            "country_code": "US",
            "telephone_number": "847-259-8583",
            "fax_number": "847-259-8935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SYMONE",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-007064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC. CLINICAL PSYCHOLOGIS",
            "identifier": "071-007064",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SYMONE",
            "last_name": "NORDE",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren A Levitt, MSOT
• Denver J Lewis, DC
• Jasmine Elizabeth Lewis
• Karla Kayann Lewis, RN LMT
• Renora Lewis, MOT, OTR/L
• Karen Leyland
• Alorna Ann Leys, D.C.
• Ashley Leyva
• Carolyn D Leyva, PT
• Vianet Lezama

• Clinical Psychologist in Aurora, IL
• Providers in Aurora, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.