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JONATHAN ALAN SIMONS PHD PC
NPI 1104048925
Psychologist - Clinical in Surfside Beach, SC

Active since May 02, 2007
1506 AZALEA DR, STE 602, SURFSIDE BEACH, SC 29575(843) 828-0502(843) 828-4402 Get Directions Write a Review

NPPES record last updated: August 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Alan Simons Phd Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN ALAN SIMONS PHD PC (NPI 1104048925) is a healthcare organization registered as a clinical in Surfside Beach, South Carolina and active in the NPI registry since May 2007. The organization lists Patricia Claire Stelling, Vice President-office Manager, as its authorized official.

NPPES Registry Identity

NPI1104048925
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJONATHAN ALAN SIMONS PHD PC
Location Address1506 AZALEA DR, STE 602Surfside Beach, SC 29575-5232
Mailing AddressPo Box 859Pawleys Island, SC 29585-0859 · (843) 828-0502 · Fax (843) 828-4402
Phone(843) 828-0502
Fax(843) 828-4402
Organization SubpartNo
Authorized OfficialPatricia Claire StellingVice President-office Manager · (843) 828-0502
Enumeration DateMay 2, 2007
Last NPPES UpdateAugust 23, 2012
✔ NPI 1104048925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in SC · 639
Definition
A 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.
1506 AZALEA DR, Surfside Beach, SC 29575
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Other Identifiers 2

MedicaidPS0245SC
Medicare ID-Type UnspecifiedQ313770283SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Alan Simons Phd PC's NPI number?

The NPI number for Jonathan Alan Simons Phd PC is 1104048925. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Jonathan Alan Simons Phd PC located?

Jonathan Alan Simons Phd PC is located at 1506 Azalea Dr Ste 602, Surfside Beach, SC 29575. The listed phone number is (843) 828-0502.

What is Jonathan Alan Simons Phd PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

What insurance does Jonathan Alan Simons Phd PC accept?

Health plans from BlueCross BlueShield of South Carolina list Jonathan Alan Simons Phd PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Alan Simons Phd PC was last updated on August 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.