Simon Bresler

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

088989 Issued in NY

Practice address

545 Saw Mill River Rd Ste 3D
Ardsley, NY 10502-2159

Phone

(914) 559-2840

NPI assigned

Sep 12, 2016

Last updated

Oct 12, 2020By 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

Opted out of Medicare

Previously, effective Aug 4, 2022 through Aug 4, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1962950642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 STATE ST STE OFFICE40",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122071716",
            "telephone_number": "149-559-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 SAW MILL RIVER RD STE 3D",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105022159",
            "telephone_number": "914-559-2840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Harrison Ave Ste 208D",
            "address_purpose": "LOCATION",
            "city": "Mamaroneck",
            "state": "NY",
            "postal_code": "105433150",
            "country_code": "US",
            "telephone_number": "914-559-2840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRESLER",
        "first_name": "SIMON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Bisaga, MD
• Rachel Blumstein-Posner, PH.D.
• Diane Boekman, M.ED., B.S.
• John Bohl II
• Erika Bresler
• Mark S Briskin, D.D.S.
• Bianca Brown
• Charisse Ann Brown, LCAT
• Caitlin Ursula Browne, OTR
• Laura Bucci, DPT

• Clinical Social Worker in Ardsley, NY
• Providers in Ardsley, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.