MS. MARY THERESA SIMON (NPI# 1487793238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487793238 |
| Entity Type | Individual |
| Full Name | MS. MARY THERESA SIMON |
| Credential | PMHNP |
| Practice Address |
340 Montage Mountain Rd Moosic PA 18507-1782 |
| Practice Telephone | 5703463686 |
| Practice Fax Number | 5705586838 |
| Mailing Telephone | 5703463686 |
| Mailing Fax Number | 5705586838 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2017-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
SP016910 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PMHNP | 2015023708 | 01 | |
| PA | PENNSYLVANIA CERTIFIED REGISTERED NURSE PRACTITIONER-PSYCHIATRIC | SP016910 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730709411 | Mary Kathleen Simon | Student in an Organized Health Care Education/Training Program | 1820 S Wiggins Ave, Springfield, IL 62704-3335 | 2020-04-22 |
| 1326166125 | Mary A. Simon | Pediatrics | 7 Melrose Dr, Farmington, CT 06032-0893 | 2007-03-27 |
| 1194711275 | Mary F Simon | Pediatrics | 5715 N West Ave Ste 102, Fresno, CA 93711-2376 | 2005-09-23 |
| 1821621145 | Mary Simon | Pharmacist | 2600 W Michigan Ave, Kalamazoo, MI 49006-5502 | 2020-02-14 |
| 1639645369 | Mary F Simon | Naturopath | 1428 N Farwell Ave, Milwaukee, WI 53202-2968 | 2018-10-20 |
| 1942790118 | Mary Beth Simon | Radiologic Technologist | 40520 Cty Hwy 34, Ogema, MN 56569 | 2018-05-14 |
| 1902282270 | Mary Tabatha Simon | Nurse Practitioner | 3 Professional Park Dr Ste 21, Johnson City, TN 37604-6529 | 2015-08-10 |
| 1851661482 | Mary Simon | Pharmacist | 1360 W Horizon Ridge Pkwy, Henderson, NV 89012-2462 | 2012-01-12 |
| 1306007273 | Mary F Simon | Social Worker | 6717 Stone Glen Drive, Middleton, WI 53562 | 2008-06-23 |
| 1922298603 | Mary Margaret Simon | Social Worker | 6140 W Emerald St, Boise, ID 83704-8857 | 2007-07-27 |
| Street Address |
340 MONTAGE MOUNTAIN RD |
| City | MOOSIC |
| State | PA |
| Zip Code | 18507-1782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295718237 | Matthew Adam Berger | Psychiatry & Neurology | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2005-11-23 |
| 1396367892 | Monica Stroz | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2020-05-07 |
| 1275178626 | Megan Marie Birk | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-11-08 |
| 1942844329 | Samantha Cummins | Physician Assistant | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-10-29 |
| 1891336244 | Colleen Flynn Ries | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-10-07 |
| 1235798240 | Amanda Leigh Craven | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-06-12 |
| 1750949384 | Kelly A. Roughgarden | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-05-29 |
| 1760941462 | Wendy Hall | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-03-13 |
| 1063986313 | Marie T Zedalis | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-01-18 |
| 1225509003 | Kyle L Strobel | Counselor | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2018-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184270969 | Frances R Acker- Pisko | Massage Therapist | 540 Gleason Drive, Moosic, PA 18507 | 2019-08-16 |
| 1457854150 | Leanna Tabatabaie | Dietitian, Registered | 532 Main St Ste 3, Moosic, PA 18507 | 2018-03-09 |
| 1689092769 | James Vito Squadrito Jr. | Physical Therapist | 3356 Birney Plaza, Pro Rehabilitation Services, Moosic, PA 18507 | 2014-04-04 |
| 1871881573 | Ethical Factor Rx LLC | Durable Medical Equipment & Medical Supplies | 4213 Birney Ave, Suite 4, Moosic, PA 18507 | 2011-07-14 |
| 1508955725 | Edward Christopher Grambo | Dentist | 3812 Birney Ave, Moosic, PA 18507 | 2006-10-12 |
| 1316044431 | Moosic Dental Group Inc | Dentist | 502 Church Street, Moosic, PA 18507 | 2006-09-20 |
| 1528047347 | Ralph Demario | Internal Medicine | 340 Momtage Mt Road, Moosic, PA 18507 | 2006-01-11 |
| 1023658895 | Ichs Corporatioin | Clinic/Center | 73 Montage Mountain Road, Moosic, PA 18507 | 2020-01-09 |
| 1285012526 | Laura Herbener | Nurse Practitioner | 53 Glenmaura National Blvd, Moosic, PA 18507 | 2015-05-06 |
| 1104266824 | Travis Edward Perry | Dentist | 502 Church Street, Moosic, PA 18507 | 2013-06-26 |
| Find all providers in zip 18507 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891336244 | Colleen Flynn Ries | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-10-07 |
| 1760941462 | Wendy Hall | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1707 | 2019-03-13 |
| 1356885966 | Cynthia Denise Maritato | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2016-12-15 |
| 1811305543 | Joette Hoffman | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2014-07-25 |
| 1720403868 | Jill Pentangelo | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2014-02-26 |
| 1851461743 | Marian Louise Farrell | Nurse Practitioner | 340 Montage Mountain Rd, Moosic, PA 18507-1782 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152544 | Jeanne Denise Howell | Nurse Practitioner | 6019 Saddlehorn Dr, Erie, PA 16506-4721 | 2020-10-20 |
| 1770199341 | Nicole Kassandra Carissimi | Nurse Practitioner | 1618 S 19th St, Philadelphia, PA 19145-1439 | 2020-09-19 |
| 1548875875 | Marisa Savic | Nurse Practitioner | 1 Medical Center Blvd Ste 407, Chester, PA 19013-3902 | 2020-09-14 |
| 1972117976 | Matthew Hunter | Nurse Practitioner | 728 Westerly Pkwy, State College, PA 16801-4226 | 2020-09-07 |
| 1801400817 | Monarch Psychiatric Services, P.C. | Nurse Practitioner | 103 N Gilpin St Ste 306, Punxsutawney, PA 15767-2055 | 2020-09-07 |
| 1154934412 | Ashley Scott Foster | Nurse Practitioner | 1701 Timberidge Dr, Bethel Park, PA 15102-4043 | 2020-08-26 |
| 1699385146 | Renee Lucci | Nurse Practitioner | 15 Douglas St, Ambler, PA 19002-4941 | 2020-08-08 |
| 1184233660 | Care Therapy | Nurse Practitioner | 610 Pittsburgh St, Scottdale, PA 15683-1651 | 2020-07-30 |
| 1184233926 | Jessica L Parente | Nurse Practitioner | 4067 Howley St, Pittsburgh, PA 15224-1439 | 2020-07-28 |
| 1770192775 | Lisa Ghiloni | Nurse Practitioner | 6809 N 10th St, Philadelphia, PA 19126-2906 | 2020-07-26 |
| Find all providers with the same taxonomy | ||||
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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.