DR. WILLIAMETTA SIMMONS PSY.D/MBA
NPI 1639594898
Psychologist in Bala Cynwyd, PA

Active since February 25, 2014PECOS EnrolledAccepts Medicare Assignment
1 BALA AVE STE 110, BALA CYNWYD, PA 19004(267) 252-3449 Get Directions Write a Review

NPPES record last updated: June 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Williametta Simmons Psy.d/mba NPPES

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

DR. WILLIAMETTA SIMMONS PSY.D/MBA (NPI 1639594898) is an individual psychologist in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (PS017096) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1639594898
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. WILLIAMETTA SIMMONSCredential: PSY.D/MBA
Location Address1 BALA AVE STE 110Bala Cynwyd, PA 19004-3207
Mailing Address1 Bala Ave, Ste 110Bala Cynwyd, PA 19004-3207
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 25, 2014
Last NPPES UpdateJune 29, 2019
NPI 1639594898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in PA · PS017096
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1 BALA AVE STE 110, Bala Cynwyd, PA 19004

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Williametta Simmons Psy.d/mba is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072739424
PECOS Enrollment IDI20140723001807
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

Counselor (Mental Health)
1 BALA AVE STE 110
BALA CYNWYD, PA 19004
Psychologist (Clinical)
1 BALA AVE STE 110
BALA CYNWYD, PA 19004
Psychologist (Clinical)
1 BALA AVE STE 110
BALA CYNWYD, PA 19004
Psychologist (Clinical)
1 BALA AVE STE 110
BALA CYNWYD, PA 19004
Social Worker
1 BALA AVE STE 110
BALA CYNWYD, PA 19004
Psychologist (Clinical)
1 BALA AVE STE 110
BALA CYNWYD, PA 19004

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 Williametta Simmons's NPI number?

The NPI number for Williametta Simmons is 1639594898. It was assigned to this individual provider in the NPPES registry on February 25, 2014.

Where is Williametta Simmons located?

Williametta Simmons practices at 1 Bala Ave Ste 110, Bala Cynwyd, PA 19004. The listed phone number is (267) 252-3449.

What is Williametta Simmons's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Williametta Simmons enrolled in Medicare?

Yes. Williametta Simmons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Williametta Simmons was last updated on June 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.