JOAN SIMON (PHD) – Clinical Psychologist, NPI 1699712679

JOAN SIMON (PHD) is a healthcare provider. based in Columbus, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 5354 (OH). The NPI Number for JOAN SIMON (PHD) is 1699712679

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
JOAN SIMON (PHD)
NPI
1699712679
Phone
(614) 293-2594
Address
700 ACKERMAN RD
Enumeration Date
31 May 2006
Last Update Date
15 March 2018

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6144759500
Graduation Year
1996 (30 years ago)
PAC ID
0143134445
Group Practice PAC ID
4880750512
Professional Enrollment ID
I20031119000246
Address ID
OH432196035CO2XXXXOVAL301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for JOAN SIMON (PHD)

  • 700, Ackerman Road, Columbus, Sharon, Franklin, Ohio, 43202, United States

    STE 570

    COLUMBUS, OH 432021579

    Phone: (614) 293-2594

    Fax: (614) 293-4487

    Type: Mailing

  • North High Street, Olentangy High Bluffs, Columbus, Sharon, Delaware, Ohio, 43240, United States

    COLUMBUS, OH 432014153

    Phone: (614) 293-2700

    Type: Location

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: 2003-11-19

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
I20031119000246IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour19920$0
View full utilization report →

Insurance plans in this area (ZIP 43202)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880750512View full group profile
NameSpecialtyState
Nurse PractitionerOH
Clinical Social WorkerOH
Clinical PsychologistOH
Clinical PsychologistOH
Clinical PsychologistOH
Clinical PsychologistOH
Clinical PsychologistOH
Clinical PsychologistOH
Mental Health CounselorOH
Clinical Social WorkerOH

Reviews

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Frequently asked questions

How do payers reference JOAN SIMON (PHD)?
For JOAN SIMON (PHD), use NPI 1699712679 as the unique 10-digit identifier.
Would JOAN SIMON (PHD) appear as active to a payer?
You can treat JOAN SIMON (PHD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JOAN SIMON (PHD)'s focus?
For JOAN SIMON (PHD), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is JOAN SIMON (PHD) associated with Columbus?
Public fields place JOAN SIMON (PHD) around Columbus, Ohio. Always confirm the exact site before visiting.
Does JOAN SIMON (PHD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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