Individual provider Active NPI

Simon Forbes Desjardins Sr., M.D.

  • Psychiatry Physician
  • New Bedford, MA
National Provider Identifier
1821387580
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
281954 Issued in MA
Practice address
106 Spring St
New Bedford, MA 02740-5951
Phone
(508) 997-6091
NPI assigned
Apr 4, 2011
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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 281954 MA Primary

Addresses

Primary practice location

106 Spring St
New Bedford, MA 02740-5951

Mailing address

106 Spring St
New Bedford, MA 02740-5951
Phone (508) 997-6091

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160106000654 NY Practitioner - Psychiatry 5294035101 Reassigns benefits to 1 organization
I20180614000162 RI Practitioner - Psychiatry 5294035101 Reassigns benefits to 2 organizations
I20210302000717 MA Practitioner - Psychiatry 5294035101 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281954MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 31, 2015 Accepting new patients
The McLean Hospital Corporation Psychiatry CurrentSince Mar 15, 2021 Accepting new patients
Prospect Chartercare RWMC, LLC CurrentSince May 30, 2018 Accepting new patients
Prospect Chartercare RWMC, LLC CurrentSince May 30, 2018 Accepting new patients
Jonathan H Schwartz MD, PLLC CurrentSince Apr 1, 2026 Accepting new patients
Prospect Chartercare Sjhsri, LLC Psychiatry CurrentSince May 30, 2018 Accepting new patients
Sturdy Memorial Hospital Inc CurrentSince Oct 10, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Oct 31, 2015 Accepting new patients
Southshore TMS LLC Psychiatry CurrentSince Apr 1, 2026 Accepting new patients
Prospect Chartercare Sjhsri, LLC CurrentSince May 30, 2018 Accepting new patients
The McLean Hospital Corporation Past Accepting new patients
Sturdy Health, Inc. Past Accepting new patients

Locations

115 Mill St
Belmont, MA 02478
Phone (617) 855-2000

23 Isaac St
Middleboro, MA 02346
Phone (774) 419-1000

106 Spring St
New Bedford, MA 02740
Phone (508) 993-2003

124 Long Pond Rd
Ste 11
Plymouth, MA 02360
Phone (508) 591-0569

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

1425 Madison Ave
New York, NY 10029
Phone (212) 824-8150

150 E 42nd St
New York, NY 10017
Phone (212) 661-8139

2 Wake Robin Rd
Lincoln, RI 02865
Phone (401) 333-1747

200 High Service Ave
North Providence, RI 02904
Phone (401) 456-3000

825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000

Organizations & group practices 12

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": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1821387580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SPRING ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405951",
            "telephone_number": "508-997-6091",
            "fax_number": "508-999-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SPRING ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405951",
            "telephone_number": "508-997-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESJARDINS",
        "first_name": "SIMON",
        "middle_name": "FORBES",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "281954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.