KAREN SIMON PH.D.
NPI 1669579009
Psychologist - Clinical in Newport Beach, CA

Q: What is Karen Simon's NPI number?

The NPI number for Karen Simon is 1669579009. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Q: What is Karen Simon's specialty?

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

Q: Is Karen Simon enrolled in Medicare?

No. Karen Simon has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Karen Simon was last updated on January 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 20, 2006Opted out of Medicare · through Apr 1, 2027

1151 DOVE ST, STE 205, NEWPORT BEACH, CA 92660(949) 725-3800(949) 553-1083 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Karen Simon Ph.d. NPPES

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

KAREN SIMON PH.D. (NPI 1669579009) is an individual clinical provider in Newport Beach, California, licensed in California (PSY13537) and active in the NPI registry since September 2006. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1669579009

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKAREN SIMONCredential: PH.D.

Location Address1151 DOVE ST, STE 205Newport Beach, CA 92660-2857

Mailing Address1151 Dove St, Ste 205Newport Beach, CA 92660-2857 · (949) 725-3800 · Fax (949) 553-1083

Phone(949) 725-3800

Fax(949) 553-1083

Sole ProprietorYes

Enumeration DateSeptember 20, 2006

Last NPPES UpdateJanuary 9, 2017

✔ NPI 1669579009 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 CA · PSY13537

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.

1151 DOVE ST, Newport Beach, CA 92660

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Other Identifiers 1

Medicare ID-Type UnspecifiedCP13537CA · Psychologist

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Karen Simon 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, 2023 through April 1, 2027.

Opt-Out Effective DateApril 1, 2023

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

SARAH MICHELLE HARRIS

Behavior Technician