Thresa Helen Simon, M.D.
Psychiatry & Neurology, Child & Adolescent Psychiatry in Petersburg, VA. Individual provider (NPI-1).
NPI number1003871989
StatusActive
Last updated in NPPESOct 2, 2013
Details
- NPI
- 1003871989
- Entity type
- Individual (NPI-1)
- Name
- Thresa Helen Simon
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2006
- Last updated
- Oct 2, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | 0101840405 | VA | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 0101840405 | VA |
Practice location
269 Medical Park BlvdPetersburg, VA 23805-9337
Phone 804-861-0700 · Fax 804-863-4626
Mailing address
269 Medical Park BlvdPetersburg, VA 23805-9337
Phone 804-861-0700 · Fax 804-863-4626
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