DR. JACQUELINE LISA SIMON (NPI# 1285786483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285786483 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE LISA SIMON |
| Credential | PSY.D. |
| Practice Address |
329 E 62nd St New York NY 10021-7705 |
| Mailing Address |
316 E 70th St Apt. 1fe New York NY 10021-8625 |
| Practice Telephone | 2128384333 |
| Practice Fax Number | 2128387158 |
| Mailing Telephone | 6462420686 |
| Mailing Fax Number | 2128387158 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
015689 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497200307 | Jacqueline Deborah Simon | Nurse Practitioner | 1400 E Oakland Park Blvd Ste 210, Oakland Park, FL 33334-4400 | 2016-08-20 |
| 1427444348 | Jacqueline Ann Simon | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2015-04-07 |
| Street Address |
329 E 62ND ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021-7705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205948585 | Amy Palant Gillston | Social Worker | 329 E 62nd St, New York, NY 10021-7705 | 2006-08-31 |
| 1003422049 | Tara Lee Smith | Social Worker | 329 E 62nd St, New York, NY 10065-7769 | 2020-09-16 |
| 1740890581 | Liudmila Bakhmat | Social Worker | 329 E 62nd St, New York, NY 10065-7769 | 2020-08-06 |
| 1316563836 | Nicole Dodich | Social Worker | 329 E 62nd St, New York, NY 10065-7769 | 2020-06-20 |
| 1053963066 | Rachel Mae Beitler | Social Worker | 329 E 62nd St, New York, NY 10065-7769 | 2019-07-10 |
| 1407410269 | Peter Georges Schmitt | Counselor | 329 E 62nd St, New York, NY 10065-7769 | 2019-04-26 |
| 1497319578 | Erin Abigail Cantor | Social Worker | 329 E 62nd St, New York, NY 10065-7769 | 2019-04-24 |
| 1134680416 | Gabrielle Schreyer-hoffman | Student in an Organized Health Care Education/Training Program | 329 E 62nd St, New York, NY 10065-7769 | 2019-03-28 |
| 1730647579 | Riana Justusson | Social Worker | 329 E 62nd St, New York, NY 10065-7769 | 2019-03-11 |
| 1386125078 | Megan Larign | Counselor | 329 E 62nd St, New York, NY 10065-7769 | 2018-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012318 | Inga Korsgaard | Psychologist | 233 Broadway Rm 850, New York, NY 10279-0800 | 2020-10-27 |
| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1114534757 | Joshua Andrew Haag | Psychologist | 100 Beekman St Apt 5m, New York, NY 10038-0052 | 2020-09-28 |
| 1164037909 | Katherine Louise Rachlin | Psychologist | 708 Greenwich St Apt 5b, New York, NY 10014-2598 | 2020-09-09 |
| 1538773916 | Melanie Love | Psychologist | 75 West St Apt 5h, New York, NY 10006-1793 | 2020-09-03 |
| 1952914335 | Danielle Landau | Psychologist | 127 W 96th St Apt 12e, New York, NY 10025-6482 | 2020-08-26 |
| 1265045744 | Jennifer A Drapkin | Psychologist | 136 W 71st St Apt 4f, New York, NY 10023-4024 | 2020-08-25 |
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1033729686 | Colleen Cook Flannery | Psychologist | 53 E 96th St # 1, New York, NY 10128-0813 | 2020-08-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.