Individual provider Active NPI

Lynn Simon, MD

  • Psychiatry Physician
  • Baton Rouge, LA
National Provider Identifier
1811927486
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
013348 Issued in LA
Practice address
861 Main St
Baton Rouge, LA 70802-5529
Phone
(225) 383-3013
Fax
(225) 383-0030
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 013348 LA Primary

Addresses

Primary practice location

861 Main St
Baton Rouge, LA 70802-5529

Mailing address

PO Box 66504
East Baton Rouge Parish
Baton Rouge, LA 70896-6504
Phone (225) 215-5024

Other identifiers 2

IdentifierTypeStateIssuer
184276OtherLAMALPRACTICE
1145645MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051219000842 LA Practitioner - Psychiatry 7416979448 Reassigns benefits to 1 organization
Practice locations: Baton Rouge, LA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Meharry Medical College School of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 Main St
Suite 2200
Baton Rouge, LA 70801-0014
Phone (225) 224-6489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
013348LAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol City Family Health Center Incorporated CurrentSince Dec 4, 2016 Accepting new patients
Capitol City Family Health Center, Incorporated CurrentSince Dec 4, 2016 Accepting new patients
Center for Psychological Health Care Past Accepting new patients
Capitol City Family Health Center Incorporated Past Accepting new patients
Signs & Wonders Community Mental Health Center LLC Past Accepting new patients
Capitol City Family Health Center Incorporated Past Accepting new patients

Locations

3140 Florida St
Baton Rouge, LA 70806
Phone (225) 650-2000

904 Catalpa St
Donaldsonville, LA 70346
Phone (225) 264-6800

59340 River West Dr
Plaquemine, LA 70764
Phone (225) 385-4742

Interoperability endpoints

  • Direct secure messaging: lynn.simon.1@26614.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1811927486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66504",
            "address_2": "EAST BATON ROUGE PARISH",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708966504",
            "telephone_number": "225-215-5024",
            "fax_number": "225-926-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 MAIN ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708025529",
            "telephone_number": "225-383-3013",
            "fax_number": "225-383-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "013348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MALPRACTICE",
            "identifier": "184276",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1145645",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.