SIMON TAN (NPI# 1902932536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902932536 |
| Entity Type | Individual |
| Full Name | SIMON TAN |
| Credential | PSYD. ABPP-CN |
| Practice Address |
3415 Beresford Ave Belmont CA 94002-1301 |
| Practice Telephone | 4083969381 |
| Mailing Telephone | 4083969381 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2012-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY20181 | CA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PSY201810 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811001365 | Simon S Tan | Psychiatry & Neurology | 731 E Southlake Blvd, 170, Southlake, TX 76092-6377 | 2006-08-19 |
| Street Address |
3415 BERESFORD AVE |
| City | BELMONT |
| State | CA |
| Zip Code | 94002-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728740 | Simon Hirschl | Pathology | 9 Kittie Lane, Belmont, CA 94002 | 2017-02-09 |
| 1902251028 | Emma Yan Hiu Lee Chou | Occupational Therapist | 2410 Carlmont Dr, Belmont, CA 94002 | 2016-04-26 |
| 1740578087 | The Latino Commisson | Substance Abuse Rehabilitation Facility | 401 Briarfield Way, Belmont, CA 94002 | 2011-07-20 |
| 1053624189 | Pragya Jain | Internal Medicine | 1301 Shoreway Rd., Ste. 100, Belmont, CA 94002 | 2010-07-18 |
| 1194956425 | Lilia Patricia Gallegos | Marriage & Family Therapist | 1 Davis Drive, Belmont, CA 94002 | 2009-08-04 |
| 1407099088 | Dharmesh Patel | Radiology | 513 Seagate Way, Belmont, CA 94002 | 2009-04-13 |
| 1376688044 | Paul M. Takla | Dentist | 2130 Ralston Ave, Suite 1e, Belmont, CA 94002 | 2007-02-21 |
| 1487799987 | Mark Joseph Mcmahon | Physical Therapist | 549 Ralson Avenue, Suite B, Belmont, CA 94002 | 2007-02-21 |
| 1639216112 | Patricia Mary Wieser | Nurse Practitioner | 1541 Harbor Blvd, Belmont, CA 94002 | 2007-01-31 |
| 1063575157 | Peninsula Specialty Care | Dentist | 562 Ralston Ave, Belmont, CA 94002 | 2006-12-19 |
| Find all providers in zip 94002 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063563427 | Lee C Reich | Clinical Neuropsychologist | 23 Oak St, Belmont, MA 02478-3006 | 2007-01-14 |
| 1407927569 | Lillian Brandon Dinklage | Clinical Neuropsychologist | 10 Ivy Rd, Belmont, MA 02478-3364 | 2006-11-12 |
| 1275586794 | Mithlesh N/a Garg | Clinical Neuropsychologist | 19 Larch Cir, Belmont, MA 02478-4612 | 2006-05-18 |
| 1184600215 | Ronald James Calvanio | Clinical Neuropsychologist | 89 Bay State Rd, Belmont, MA 02478-2240 | 2005-12-20 |
| 1922358969 | Kathryn Piscitelle | Clinical Neuropsychologist | 115 Mill St, Belmont, MA 02478-1064 | 2012-09-18 |
| 1881831493 | Michael Leo Brinkman | Clinical Neuropsychologist | 115 Mill St, South Belknap 3, Belmont, MA 02478-1064 | 2009-01-20 |
| 1467598961 | Steffen R. Fuller | Clinical Neuropsychologist | 68 Leonard St, Belmont, MA 02478-2522 | 2007-01-30 |
| 1558407064 | Fuller Consulting Services, LLC | Clinical Neuropsychologist | 68 Leonard St, Belmont, MA 02478-2522 | 2007-01-30 |
| 1679637037 | Julie Michelle Brody Magid | Clinical Neuropsychologist | 115 Mill St, Belmont, MA 02478-1064 | 2006-12-20 |
| 1205817723 | Jennifer White | Clinical Neuropsychologist | 115 Mill St, Mclean Hospital, Belmont, MA 02478-1041 | 2005-11-10 |
| Find all providers in BELMONT | ||||
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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.