Simon, Kyle

Simon, Kyle is an individual health care provider with primary practice located at 11285 Highline Dr , Northglenn CO 80233-3076. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Simon, Kyle can be contacted via phone (303) 853-3500.

Contact Information

Primary practice address
11285 Highline Dr Northglenn CO 80233-3076
Phone: (303) 853-3500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY.0005396 Colorado

Profile Details

NPI number 1649794165
LBN Legal business name Simon, Kyle
Credentials PSYD, LP, LAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649794165 NPPES
Colorado MEDICAID 9000188678

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