DR. WILLIAMETTA SIMMONS PSY.D/MBA
NPI 1639594898
Psychologist in Bala Cynwyd, PA
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.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Williametta Simmons Psy.d/mba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Williametta Simmons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bala Cynwyd, PA 19004
- Reassigned Medicare billing, Pennsylvania enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
BALA CYNWYD, PA 19004
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 enrollment system.
Which organization bills Medicare for Williametta Simmons's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Williametta Simmons reassigns Medicare benefits to Integrative Psychological & Consulting Services (Bala Cynwyd, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Williametta Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.