Jonathan Brian Simmons, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6312 Issued in MA

Practice address

15 Depot Ave Ofc
Falmouth, MA 02540-2301

Phone

(508) 386-8508

Fax

(508) 433-1871

NPI assigned

Nov 22, 2005

Sex

Male

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

Opted out of Medicare

Yes, effective May 30, 2026 through May 30, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Jonathan Simmons PLLC

  • Clinical Psychologist
  • Falmouth, MA
  • NPI 1760157457
  NPD Authorized official

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1821071812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OLD FORGE RD",
            "city": "NORTH FALMOUTH",
            "state": "MA",
            "postal_code": "025563016",
            "telephone_number": "508-386-8508",
            "fax_number": "508-433-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DEPOT AVE OFC",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402301",
            "telephone_number": "508-386-8508",
            "fax_number": "508-433-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JONATHAN",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "6312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Leigh Shepard, NP
• Patrick Robert Shepard, DNP, APRN, FNP-BC
• Christine M Showalter, L.M.F.T.
• Mir Shuttari, MD
• Mark Thomas Sigwart Jr., PA-C
• Simply Hearing, Inc.
• Donald Smith, MD
• Elizabeth Anne Solar, BS, JOURNALISM
• Sophie Markovich,D.M.D., P.C.
• Jacqueline Sorensen

• Clinical Psychologist in Falmouth, MA
• Providers in Falmouth, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.