Simon Forbes Desjardins, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

281954 Issued in MA

Practice address

115 Mill St
Belmont, MA 02478-1064

Phone

(617) 855-3141

NPI assigned

Apr 4, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, RI, MA3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Sturdy Memorial Hospital Inc

  • General Acute Care Hospital
  • Attleboro, MA
  • NPI 1730106162
  Medicare reassignment NPD
• The McLean Hospital Corporation

  • Psychiatry Physician
  • Belmont, MA
  • NPI 1114979580
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • New York, NY
  • NPI 1033482518
  Medicare reassignment NPD
• Prospect Chartercare RWMC, LLC

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1285059287
  Medicare reassignment NPD
• Prospect Chartercare Sjhsri, LLC

  • Internal Medicine Physician
  • North Providence, RI
  • NPI 1588089759

  Psychiatry

  Medicare reassignment NPD
• Jonathan H Schwartz MD, PLLC

  • Multi-Specialty Clinic/Center
  • New Bedford, MA
  • NPI 1528833522
  Medicare reassignment
• Icahn School of Medicine at Mount Sinai

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466
  NPD
• Prospect Chartercare RWMC, LLC

  • Cardiovascular Disease Physician
  • Providence, RI
  • NPI 1326463548
  NPD
• Prospect Chartercare Sjhsri, LLC

  • General Acute Care Hospital
  • North Providence, RI
  • NPI 1871918870
  NPD
• Sturdy Health, Inc.

  • Internal Medicine Physician
  • Mansfield, MA
  • NPI 1871515874
  NPD (past)
• The McLean Hospital Corporation

  • Clinical Psychologist
  • Belmont, MA
  • NPI 1538185475
  NPD (past)

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1821387580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 COOLIDGE AVE APT 521",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722800",
            "telephone_number": "401-400-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MILL ST",
            "city": "BELMONT",
            "state": "MA",
            "postal_code": "024781064",
            "telephone_number": "617-855-3141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Park St",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027033143",
            "country_code": "US",
            "telephone_number": "508-236-7032",
            "fax_number": "508-236-8903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 Elbow St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034620",
            "country_code": "US",
            "telephone_number": "401-424-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Coolidge Ave Apt 521",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "MA",
            "postal_code": "024722800",
            "country_code": "US",
            "telephone_number": "401-400-0636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESJARDINS",
        "first_name": "SIMON",
        "middle_name": "FORBES",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A143651",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "281954",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "268564",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "16019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leo Carl Denatale Jr., OD
• Heather Denisco, NP
• Sean Depamphilis
• Allison Depaolo
• Melissa J Derosa, LICSW
• Roney Desousa
• Karen B Dewees, LICSW
• Martha Dewitt, PH.D.
• Joanna Diab
• Alexandra Dick, PH.D.

• Psychiatry Physician in Belmont, MA
• Providers in Belmont, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.