Individual provider Active NPI

Gina De Simone, PSYD

  • Clinical Child & Adolescent Psychologist
  • Phoenix, AZ
National Provider Identifier
1831459650
Registry record updated May 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
3991 Issued in AZ
Practice address
7330 N 16TH St
Suite C200
Phoenix, AZ 85020-5237
Phone
(602) 795-1670
NPI assigned
May 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 3991 AZ Primary

Addresses

Primary practice location

7330 N 16TH St
Suite C200
Phoenix, AZ 85020-5237

Mailing address

7330 N 16TH St
Suite C200
Phoenix, AZ 85020-5237
Phone (602) 795-1670

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

NPI Registry JSON

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

{
    "created_epoch": "1337990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337990400000",
    "number": "1831459650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 N 16TH ST",
            "address_2": "SUITE C200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205237",
            "telephone_number": "602-795-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 N 16TH ST",
            "address_2": "SUITE C200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205237",
            "telephone_number": "602-795-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SIMONE",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-26",
        "last_updated": "2012-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AZ",
            "license": "3991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2012; 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.