MR. SIMON FORBES DESJARDINS (M.D.) – Psychiatry Physician, NPI 1821387580
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. SIMON FORBES DESJARDINS (M.D.)
12 BASSETT ST
PROVIDENCE, RI 029034200
Phone: (401) 424-5200
Fax: (401) 424-5162
Type: Mailing
12 BASSETT ST STE 2
PROVIDENCE, RI 029034200
Phone: (401) 424-5200
Type: Location
131 COOLIDGE AVE APT 521
WATERTOWN, MA 024722800
Phone: (401) 400-0636
Type: Mailing
115 MILL ST
BELMONT, MA 024781064
Phone: (617) 855-3141
Type: Location
29 Elbow St
Providence, RI 029034620
Phone: (401) 424-5200
Type: Location
131 Coolidge Ave Apt 521
Watertown, MA 024722800
Phone: (401) 400-0636
Type: Location
211 Park St
Attleboro, MA 027033143
Phone: (508) 236-7032
Fax: (508) 236-8903
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: 2021-03-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160106000654 | I | Psychiatry | NY | TBD |
| I20180614000162 | I | Psychiatry | RI | TBD |
| I20210302000717 | I | Psychiatry | MA | TBD |
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.
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 02903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | RI | |
| Internal Medicine | RI | |
| Physician Assistant | RI | |
| A N E S T H E S I O L O G Y | RI | |
| A N E S T H E S I O L O G Y | RI | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology, Interventional Cardiology, Cardiovascular Disease (Cardiology) | RI | |
| Cardiovascular Disease (Cardiology) | MA | |
| Internal Medicine, Pulmonary Disease, Pulmonary Disease | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| - | RI |
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