Beth S Simon, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY17189 Issued in CA

Practice address

1303 E Grand Avenue
Suite 201 P
Arroyo Grande, CA 93421

Phone

(805) 709-1601

Fax

(760) 280-8929

NPI assigned

Oct 6, 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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821185117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "93421",
            "telephone_number": "805-709-1601",
            "fax_number": "760-280-8929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 E GRAND AVENUE",
            "address_2": "SUITE 201 P",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "93421",
            "telephone_number": "805-709-1601",
            "fax_number": "760-280-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "BETH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Peach Corporation
• Helen Marie Sherry, PH.D.
• George Kieran Sherwood, CPHT
• Leslie Claire Siembieda, LCSW
• Christine Silva, IBCLC
• Eric Peter Simon, PHD
• Slo County Drug & Alcohol Service
• Randy Dell Smart, O.D.
• Ronald L Smith-Arizmendi, M.D.
• Mark Smith, M.D.

• Clinical Psychologist in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Clinical Psychologist in California

• 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.
• 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.