THRESA HELEN SIMON M.D. NPI 1003871989

Psychiatry & Neurology (Child & Adolescent Psychiatry) in Petersburg, VA

About THRESA SIMON

Thresa Simon is a provider in Petersburg, VA with more than 30 years of experience. The NPI number assigned to this provider is 1003871989. The practitioner's primary taxonomy code is Psychiatry & Neurology (2084P0804X). The provider is registered as an individual and their NPI record was last updated 4 years ago. Thresa Simon is registered with Medicare but might not accept claims assignment.

NPI1003871989 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name THRESA HELEN SIMON M.D.
Provider Location Address269 MEDICAL PARK BLVD PETERSBURG, VA 23805 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address269 MEDICAL PARK BLVD PETERSBURG, VA 23805 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameOTHER
Graduation Year1988
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-20-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-02-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

THRESA HELEN SIMON M.D.
269 MEDICAL PARK BLVD
PETERSBURG, VA
ZIP 23805
Phone: (804) 861-0700
Fax: (804) 863-4626
Get Directions

Mailing Address

THRESA HELEN SIMON M.D.
269 MEDICAL PARK BLVD
PETERSBURG, VA
ZIP 23805
Phone: (804) 861-0700
Fax: (804) 863-4626

Primary Taxonomy

Taxonomy Code2084P0804X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationChild & Adolescent Psychiatry
License No.0101840405
License StateVA
Taxonomy DescriptionChild & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry0101840405VANo

Taxonomy Description: a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Map Location


THRESA HELEN SIMON M.D. address is 269 MEDICAL PARK BLVD PETERSBURG, VA 23805

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114121829 DEVI VASU M.D.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)269 MEDICAL PARK BLVD
PETERSBURG, VA 23805
(804) 861-0700
1609831544 RAMESH B. KODURI M.D.
Individual
Psychiatry & Neurology (Psychiatry)269 MEDICAL PARK BLVD
PETERSBURG, VA 23805
(804) 861-0700
1699734517 JAMES W WOOLDRIDGE JR. MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)269 MEDICAL PARK BLVD
PETERSBURG, VA 23805
(804) 861-0700
1700234622 SUNNY HONG
Individual
Psychologist (Clinical)269 MEDICAL PARK BLVD
PETERSBURG, VA 23805
(804) 861-0700
1700894466VIRGINIA SOUTH PSYCHIATRIC & FAMILY SERVICES
Organization
Psychiatry & Neurology (Psychiatry)269 MEDICAL PARK BLVD
PETERSBURG, VA 23805
(804) 861-0700
1851330443 RAMESH C. AGARWAL M.D.
Individual
Psychiatry & Neurology (Psychiatry)269 MEDICAL PARK BLVD
PETERSBURG, VA 23805
(804) 861-0700
1942265509 C. RAO AMARA M.D.
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)269 MEDICAL PARK BLVD
PETERSBURG, VA 23805
(804) 861-0700