Caroline Simon, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

877 Issued in MD

Practice address

5480 Wisconsin Ave
Suite 1005
Chevy Chase, MD 20815-3530

Phone

(301) 654-3462

NPI assigned

Oct 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1881873586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 CEDAR PKWY",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153444",
            "telephone_number": "301-654-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 WISCONSIN AVE",
            "address_2": "SUITE 1005",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153530",
            "telephone_number": "301-654-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "877",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "PSY831",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC OF MD",
            "identifier": "GH45",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS",
            "identifier": "J914",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Signature by Medstar Health LLC
• Shobha Sikka, MD
• Evan Martin Silver
• Celia Margot Silverman
• Natalie Silverman, MD
• Fredric Simon
• Margaret Ann Simoneau, RPH
• Alan Howard Singer, DDS
• Patricia Ann Siraganian, M.D.
• Gautam Siram, M.D.

• Clinical Psychologist in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.