Tracy Leigh Simon, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0158541 Issued in NY

Practice address

128 Wooster St
Suite 4
New York, NY 10012-3809

Phone

(212) 343-0021

NPI assigned

Sep 15, 2006

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

State licenses

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801992367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 1ST ST",
            "address_2": "APT # 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152507",
            "telephone_number": "917-685-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 WOOSTER ST",
            "address_2": "SUITE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100123809",
            "telephone_number": "212-343-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "TRACY",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "0158541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Signe Simon
• Stephanie Simon, PSYD
• Susan Kaplan Simon, MS PT
• Teresa Simon, LCSW
• Tracey Lynn Simon, LCSW
• Valerie Simon, LCSW
• Matheus Simonato Dos Santos, MD
• Geneva Simonds, CASAC
• Adrienne Laurette Simone, M.D
• Armand V Simone, MD

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.