Lynne M. Simon Professional Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071003423 Issued in IL

Legal business name

LYNNE M. SIMON PROFESSIONAL CORPORATION

Practice address

636 Church St Ste 619a
Evanston, IL 60201-4586

Phone

(847) 328-8779

NPI assigned

Jun 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lynne M. Simon, PH.D.NPI 1598722779

Title

President

Phone

(847) 328-8779

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lynne Martin Simon, PH.D.

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1598722779
  NPD (past) Authorized official

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1952504664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CHURCH ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014514",
            "telephone_number": "847-328-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 CHURCH ST STE 619A",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014586",
            "telephone_number": "847-328-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNNE M. SIMON PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-328-8779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071003423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyne Luzietti, LCSW
• Lydia Home Association
• Jeffrey L. Lyman, MD
• Deborah M. Lynch, CNS
• Joan Lynch
• Lynnshymanlcsw,LLC
• Stephanie Lyons, LCSW
• David Allen Lyubashevsky, MD
• M & R Dental, PLLC
• M Lichterman PLLC

• Clinical Psychologist in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2013; 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.