DR. RANDY SIMON PHD
NPI 1619307238
Psychologist - Clinical in Montclair, NJ

Active since November 18, 2013Opted out of Medicare · through Jul 1, 2027
80 PARK ST, MONTCLAIR, NJ 07042(201) 341-0593 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 23, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Randy Simon Phd NPPES

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

DR. RANDY SIMON PHD (NPI 1619307238) is an individual clinical provider in Montclair, New Jersey, licensed in New Jersey (35S100509000) and active in the NPI registry since November 2013. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Summit.

NPPES Registry Identity

NPI1619307238
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. RANDY SIMONCredential: PHD
Location Address80 PARK STMontclair, NJ 07042-2904
Mailing Address80 Park StMontclair, NJ 07042-2904 · (201) 341-0593
Sole ProprietorYes
Enumeration DateNovember 18, 2013
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPI 1619307238 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 NJ · 35S100509000
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.

80 PARK ST, Montclair, NJ 07042

Secondary Practice Location 1

Location 1467 Springfield AveSummit, NJ 07901-2622 · Phone (201) 341-0593

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. Randy Simon Phd 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 July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

Counselor (Mental Health)
80 PARK ST
MONTCLAIR, NJ 07042
Social Worker
80 PARK ST
MONTCLAIR, NJ 07042
Psychiatry & Neurology (Psychiatry)
80 PARK ST
MONTCLAIR, NJ 07042
Social Worker
80 PARK ST
MONTCLAIR, NJ 07042
Community/Behavioral Health
80 PARK ST
MONTCLAIR, NJ 07042
Social Worker
80 PARK ST
MONTCLAIR, NJ 07042
Social Worker (Clinical)
80 PARK ST
MONTCLAIR, NJ 07042
Counselor
80 PARK ST
MONTCLAIR, NJ 07042

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 Randy Simon's NPI number?

The NPI number for Randy Simon is 1619307238. It was assigned to this individual provider in the NPPES registry on November 18, 2013.

Where is Randy Simon located?

Randy Simon practices at 80 Park St, Montclair, NJ 07042. The listed phone number is (201) 341-0593.

What is Randy Simon's specialty?

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

Is Randy Simon enrolled in Medicare?

No. Randy Simon has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Randy Simon was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.