Active NPI
Chesha Simon, PSYD
- Clinical Psychologist
- Philadelphia, PA
National Provider Identifier
1831736461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS018788
- Practice address
- 3300 Henry Ave Ste 113
Philadelphia, PA 19129-1146 - Phone
- (917) 583-0236
- NPI assigned
- Dec 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS018788 | PA | Primary |
Addresses
Primary practice location
3300 Henry Ave Ste 113
Philadelphia, PA 19129-1146
Mailing address
144 S Morton Ave Apt A46
Morton, PA 19070-2069
Phone (917) 583-0236
Other practice location 1
40 Martin Gross Dr
Langhorne, PA 19047-1616
Phone (917) 583-0236
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS018788 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575244800000",
"number": "1831736461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 S MORTON AVE APT A46",
"city": "MORTON",
"state": "PA",
"postal_code": "190702069",
"telephone_number": "917-583-0236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 HENRY AVE STE 113",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291146",
"telephone_number": "917-583-0236"
}
],
"practiceLocations": [
{
"address_1": "40 Martin Gross Dr",
"address_purpose": "LOCATION",
"city": "Langhorne",
"state": "PA",
"postal_code": "190471616",
"country_code": "US",
"telephone_number": "917-583-0236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMON",
"first_name": "CHESHA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-02",
"last_updated": "2019-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS018788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.