Individual provider Active NPI

Jeffrey Hayden Simon, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1861651077
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD441409 Issued in PA
Practice address
8835 Germantown Ave
Philadelphia, PA 19118-2718
Phone
(215) 248-8117
NPI assigned
Jun 3, 2008
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X ME130583 FL
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X MD441409 PA
Psychiatry Physician 2084P0800X MD441409 PA Primary
Addiction Psychiatry Physician 2084P0802X 25MA08832000 NJ

Addresses

Primary practice location

8835 Germantown Ave
Philadelphia, PA 19118-2718

Mailing address

3500 N Broad St RM 1a
Philadelphia, PA 19140-4106
Phone (215) 707-2433

Other practice location 1

1930 Marlton Pike E Ste U100
Cherry Hill, NJ 08003-4212
Phone (856) 888-1326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141205000211 PA Practitioner - PsychiatryPractitioner - Addiction Medicine 5092037861 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

8835 Germantown Ave
Phila, PA 19118-2718
Phone (215) 707-2098

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME130583FLMDAddiction Medicine (Psychiatry & Neurology) Physician
MD441409PAMDAddiction Medicine (Psychiatry & Neurology) Physician
25MA08832000NJMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan, Inc CurrentSince May 11, 2025 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince May 11, 2025 Accepting new patients
Holistix by the Sea, LLC Current Accepting new patients
Milestone Behavioral Health LLC CurrentSince Feb 11, 2021 Accepting new patients
Holistix by the Sea Current Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Regional Foot and Ankle Specialists, LLC PastSince Jan 8, 2019 Accepting new patients
CHH Community Health Past Accepting new patients
The Progressions Companies, Inc. Past Accepting new patients
The Progressions Companies, Inc. Past Accepting new patients
CHH Community Health Past Accepting new patients
Malvern Constitution LLC Past Accepting new patients

Locations

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

3500 N Broad St
Rm 1A
Philadelphia, PA 19140
Phone (215) 707-2433

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

301 Oxford Valley Rd
Ste 305B
Yardley, PA 19067
Phone (215) 493-6444

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1861651077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N BROAD ST RM 1A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404106",
            "telephone_number": "215-707-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191182718",
            "telephone_number": "215-248-8117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 Marlton Pike E Ste U100",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080034212",
            "country_code": "US",
            "telephone_number": "856-888-1326",
            "fax_number": "856-382-7695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JEFFREY",
        "middle_name": "HAYDEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "FL",
            "license": "ME130583",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "PA",
            "license": "MD441409",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD441409",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NJ",
            "license": "25MA08832000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.