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DR. JENNIFER ANNE SIMON-THOMAS PH.D.
NPI 1194869149
Psychologist - Clinical Child & Adolescent in Portland, OR

Active since February 16, 2007Opted out of Medicare · through Apr 1, 2028
4850 SW SCHOLLS FERRY RD STE 301, PORTLAND, OR 97225(503) 707-0348(971) 266-2868 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jennifer Anne Simon-thomas Ph.d. NPPES

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

DR. JENNIFER ANNE SIMON-THOMAS PH.D. (NPI 1194869149) is an individual clinical child & adolescent provider in Portland, Oregon, licensed in Oregon (2570) and active in the NPI registry since February 2007. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1194869149
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. JENNIFER ANNE SIMON-THOMASCredential: PH.D.
Location Address4850 SW SCHOLLS FERRY RD STE 301Portland, OR 97225-1696
Mailing Address5319 Sw Westgate Dr Ste 168Portland, OR 97221-2430 · (503) 707-0348 · Fax (971) 266-2868
Phone(503) 707-0348
Fax(971) 266-2868
Sole ProprietorYes
Enumeration DateFebruary 16, 2007
Last NPPES UpdateAugust 29, 2022
NPPES CertifiedAugust 4, 2020
✔ NPI 1194869149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in OR · 2570
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 355 (MT)
4850 SW SCHOLLS FERRY RD STE 301, Portland, OR 97225
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jennifer Anne Simon-thomas Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2024 through April 1, 2028.

Opt-Out Effective DateApril 1, 2024
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA K KIRCHOFF MD
Pediatrics (Developmental - Behavioral Pediatrics)
4850 SW SCHOLLS FERRY RD STE 301
PORTLAND, OR 97225
Washington County (503) 444-1745
CHRISTINE MOORE M.S. CCC-SLP
Speech-Language Pathologist
4850 SW SCHOLLS FERRY RD STE 301
PORTLAND, OR 97225
Washington County (503) 504-7051
ORCHID DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS, LLC
Pediatrics (Developmental - Behavioral Pediatrics)
4850 SW SCHOLLS FERRY RD STE 301
PORTLAND, OR 97225
Washington County (503) 894-5349
JUST PSYCHOLOGICAL SERVICES, PC
Psychologist (Clinical Child & Adolescent)
4850 SW SCHOLLS FERRY RD STE 301
PORTLAND, OR 97225
Washington County (503) 707-0348

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 Jennifer Simon-thomas's NPI number?

The NPI number for Jennifer Simon-thomas is 1194869149. It was assigned to this individual provider in the NPPES registry on February 16, 2007.

Where is Jennifer Simon-thomas located?

Jennifer Simon-thomas practices at 4850 SW Scholls Ferry Rd Ste 301, Portland, OR 97225. The listed phone number is (503) 707-0348.

What is Jennifer Simon-thomas's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Jennifer Simon-thomas enrolled in Medicare?

No. Jennifer Simon-thomas has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jennifer Simon-thomas accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Jennifer Simon-thomas 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 Jennifer Simon-thomas was last updated on August 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.