ROBERT JAMES SIMON MSN APRN PMHNP-BC NPI 1629421664

NPI Information

NPI: 1629421664
Provider Name: ROBERT JAMES SIMON, MSN, APRN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1308 KINGWOOD DR
KINGWOOD, TX
ZIP 77339
Phone: (713) 481-2808
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Robert James Simon, MSN, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Kingwood, TX with 5 years of experience. Robert James Simon, MSN, APRN, PMHNP-BC NPI is 1629421664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1308 KINGWOOD DR
KINGWOOD, TX
ZIP 77339-146
Phone: (713) 481-2808
Fax: (713) 481-2805

The NPI 1629421664 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/14/2016 and was last updated on 9/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN60669052	WASHINGTON	No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	912786	TEXAS	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP143703	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	412017201	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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