Kathleen Simervil, PA-C, CAQ-PSYCH

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9111928 Issued in FL

Practice address

140 NE 4TH Ave
Delray Beach, FL 33483-4570

Phone

(561) 808-7986

NPI assigned

Dec 28, 2018

Last updated

Jul 1, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southcoast Psychiatric Services IncGroup PAC ID 2860879293, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Southcoast Psychiatric Services Inc

  • Community/Behavioral Health Agency
  • Coral Springs, FL
  • NPI 1316571037
  Medicare reassignment Care Compare group
• Reco Island Detox LLC

  • Substance Abuse Rehabilitation Facility
  • Boynton Beach, FL
  • NPI 1639979891
  NPD
• Bishop Health Florida, LLC

  • Psychiatry Physician
  • Delray Beach, FL
  • NPI 1215676192
  NPD (past)
• Paul Modesto, PH.D.,P.a.

  • Clinical Psychologist
  • Boca Raton, FL
  • NPI 1780683409
  NPD (past)
• Reco Intensive Op, LLC

  • Substance Abuse Rehabilitation Facility
  • Delray Beach, FL
  • NPI 1023478955
  NPD (past)

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1801368964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 NE 4TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334834570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NE 4TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334834570",
            "telephone_number": "561-808-7986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334874917",
            "country_code": "US",
            "telephone_number": "561-241-6628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2320 S Seacrest Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334356516",
            "country_code": "US",
            "telephone_number": "561-518-7950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 SE 6th Ave # A",
            "address_purpose": "LOCATION",
            "city": "Delray Beach",
            "state": "FL",
            "postal_code": "334835231",
            "country_code": "US",
            "telephone_number": "561-636-9242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMERVIL",
        "first_name": "KATHLEEN",
        "credential": "PA-C, CAQ-PSYCH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-28",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9111928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Silver, LPAT
• Dawn M Silver, PH.D.
• Jennifer Swayman Silver, MOT, OTR/L
• Mitchell D Silver, M.D.
• Joshua Miles Silverman
• Brittany Simon, BASDH
• Chasity L Simon
• Jeffrey W Simon
• Joshua Adrian Simon, D.O.
• Loren Elyse Simovitch

• Physician Assistant in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.