DR. SHERRY A SIMON (PSY.D.) – Clinical Psychologist, NPI 1497768956

DR. SHERRY A SIMON (PSY.D.) is a healthcare provider. based in Sylvania, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 4728 (OH). The NPI Number for DR. SHERRY A SIMON (PSY.D.) is 1497768956

Main info

Female
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHERRY A SIMON (PSY.D.)
NPI
1497768956
Phone
(419) 885-4121
Address
6400 MONROE ST
Enumeration Date
15 August 2006
Last Update Date
28 December 2010

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
4193778660
Graduation Year
1992 (34 years ago)
PAC ID
4688566235
Professional Enrollment ID
I20040327000273
Address ID
OH436150713TO5532XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for DR. SHERRY A SIMON (PSY.D.)

  • 6400, Monroe Street, Sylvania, Lucas County, Ohio, 43560, United States

    SUITE E

    SYLVANIA, OH 435601453

    Phone: (419) 885-4121

    Fax: (419) 885-6121

    Type: Location

  • Springbrook Drive, Franklin Park, Toledo, Lucas County, Ohio, 43623, United States

    TOLEDO, OH 436151182

    Phone: (419) 885-4121

    Fax: (419) 885-6121

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040327000273IClinical PsychologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43560)

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Reviews

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Frequently asked questions

Is DR. SHERRY A SIMON (PSY.D.) listed with a National Provider Identifier?
Yes — DR. SHERRY A SIMON (PSY.D.) has NPI 1497768956 on file in the registry.
Is DR. SHERRY A SIMON (PSY.D.) still an active registrant?
DR. SHERRY A SIMON (PSY.D.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. SHERRY A SIMON (PSY.D.)?
DR. SHERRY A SIMON (PSY.D.)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SHERRY A SIMON (PSY.D.)?
Travel planning: use Sylvania, Ohio as the reference point for DR. SHERRY A SIMON (PSY.D.), then confirm.
When was this NPI issued?
Enumeration for DR. SHERRY A SIMON (PSY.D.) is noted as August 15, 2006 where the registry provides it.

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