Individual provider Active NPI

Michelle Randy Simons-Lipshutz, LMFT

  • Behavior Analyst
  • Elkins Park, PA
National Provider Identifier
1821352055
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
BH001264 Issued in PA
Practice address
8121 Hammond Rd
Elkins Park, PA 19027-3333
Phone
(267) 251-0466
NPI assigned
Jul 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF000052 PA
Behavior Analyst 103K00000X BH001264 PA Primary

Addresses

Primary practice location

8121 Hammond Rd
Elkins Park, PA 19027-3333

Mailing address

812 Hammond Rd
Elkins Park, PA 19027-3302
Phone (267) 251-0466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BH001264PAMDBehavioral Analyst
MF000052PAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1821352055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 HAMMOND RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273302",
            "telephone_number": "267-251-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 HAMMOND RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273333",
            "telephone_number": "267-251-0466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONS-LIPSHUTZ",
        "first_name": "MICHELLE",
        "middle_name": "RANDY",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "MF000052",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH001264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.