George Michael Simon, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000176 Issued in NY

Practice address

144 Lake Ave
Deer Park, NY 11729-4219

Phone

(631) 786-5542

Fax

(631) 667-1708

NPI assigned

Dec 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912062415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GRAND HAVEN DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253128",
            "telephone_number": "631-786-5542",
            "fax_number": "631-667-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 LAKE AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117294219",
            "telephone_number": "631-786-5542",
            "fax_number": "631-667-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "GEORGE",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sikis Pharmacy Inc
• Nancy A Silvester, PA
• Olubukola Tokunbo Simeon, LPN
• Stephen Simeon, LAC
• Coleen Marie Simon, NP
• Jivtesh Singh, D.D.S
• Sizewise Rentals LLC
• SKG Dermatology PLLC
• Ellen D Slattery
• Debra A. Sluter, LMT

• Marriage & Family Therapist in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.