LEONARD SIMON PHD NPI 1013090778
Psychologist - Clinical in San Diego, CA

About LEONARD SIMON PHD

Leonard Simon is a provider established in San Diego, California and his medical specialization is Psychologist with a focus in clinical . The NPI number of Leonard Simon is 1013090778 and was assigned on October 2006. The practitioner's primary taxonomy code is 103TC0700X with license number PSY17791 (CA). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1013090778
Provider Name LEONARD SIMON PHD
Location Address4715 VIEWRIDGE AVE SUITE 230 SAN DIEGO, CA 92123
Location Phone(800) 257-8715
Mailing Address157 NORTH LUCERNE BLVD LOS ANGELES, CA 90004
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date10-23-2006
Last Update Date07-08-2007

A clinical psychologist like Leonard Simon Phd assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.Leonard Simon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME)..

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 51.8, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

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.

Taxonomy Code103TC0700X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.PSY17791
License StateCA
Taxonomy DescriptionA psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

LEONARD SIMON PHD
4715 VIEWRIDGE AVE
SUITE 230
SAN DIEGO, CA
ZIP 92123
Phone: (800) 257-8715
Fax: (800) 819-1655

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Mailing Address

LEONARD SIMON PHD
157 NORTH LUCERNE BLVD
LOS ANGELES, CA
ZIP 90004
Phone: (310) 963-0160
Fax: (323) 461-0311


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 53.1
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 0
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% 52.8
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 51.8
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
PSY177910MEDICAID (05)CA
WCP17791AMEDICARE ID-TYPE UNSPECIFIED (04)CA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013090778
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2023090714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 9 + 0 + 7 + 1 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1013090778 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1932174281 LISA PISTONE PHD
Individual
Psychologist4715 VIEWRIDGE AVE SUITE 230
SAN DIEGO, CA 92123
(302) 981-6927
1689615197MS. LAURA SUE GOODWIN RN, PMHNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1700821410DR. VIKTOR YETIMOVICH KAGAN
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE 230
SAN DIEGO, CA 92123
(800) 257-8715
1275579948DR. JEFFREY D. FROSS PHD, HSPP
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE
SAN DIEGO, CA 92123
(800) 257-8715
1144257973DR. FRANCES P. COOPER BROWN EDD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1578590956 JAMES KARL WALTERS PH.D.
Individual
Psychologist4715 VIEWRIDGE AVE SUITE 230
SAN DIEGO, CA 92123
(800) 257-8715
1366471237 JAMES ROBERT EARNEST PHD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1649209529DR. WANDA KAY CORSO PHD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1942219886DR. JACQUELINE J. KUPER PSYD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE STE 230
SAN DIEGO, CA 92123
(800) 257-8715
1518079607 SANDRA COHEN
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE SUITE 230
SAN DIEGO, CA 92123
(800) 257-8715
1275627168 S. STEVAN DWECK PHD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE # 230
SAN DIEGO, CA 92123
(800) 257-8715
1255415592 RACHEL J CHEN PSYD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE SUITE 230
SAN DIEGO, CA 92123
(800) 257-8715
1669551420 DON DIETZ PHD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE SUITE 230
SAN DIEGO, CA 92123
(800) 257-8715
1366512923 SUZANNE KALLEN PHD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE SUITE 230
SAN DIEGO, CA 92123
(800) 257-8715
1679636831 BARBARA LACERRA LCSW
Individual
Social Worker (Clinical)4715 VIEWRIDGE AVE SUITE 230
SAN DIEGO, CA 92123
(800) 257-8715
1174711386 ESTHER CARROLL BRITT PH.D
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE SUITE 230
SAN DIEGO, CA 92123
(800) 257-8715
1811154263 MARY E CARAVELLO CRNP
Individual
Nurse Practitioner (Adult Health)4715 VIEWRIDGE AVE SUITE 230
SAN DIEGO, CA 92123
(800) 257-8715
1659526929DR. SHELIA MICHELLE STENSON PSY.D.
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE SUITE 110/230
SAN DIEGO, CA 92123
(800) 257-8715
1558691816DR. SANDRA DELLA ROCCA PSY.D.
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE SUITE 230
SAN DIEGO, CA 92123
(800) 257-8715
1649584541 CAROL KIMBLE PHD
Individual
Psychologist (Clinical)4715 VIEWRIDGE AVE
SAN DIEGO, CA 92123
(800) 257-8715

Frequently Asked Questions

What is Leonard Simon PHD NPI number?

The NPI number assigned to Leonard Simon PHD is 1013090778, registered as an "individual" on October 23, 2006

Where is Leonard Simon PHD located?

The provider is located at 4715 Viewridge Ave Suite 230 San Diego, Ca 92123 and the phone number is (800) 257-8715

Which is Leonard Simon PHD specialty?

The provider's speciality is Psychologist with a focus in Clinical

What insurance does Leonard Simon PHD accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Leonard Simon PHD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

How much is a visit to Leonard Simon PHD?

Medicare beneficiaries should expect a typical cost of $190.19 with an average copayment of $47.54 for new patient appointments. Established patients should expect a typical charge of $112.21 and an average copayment of 28.05. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Leonard Simon PHD was last updated on October 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]