Kim Simic MD INC
Psychiatry & Neurology, Psychiatry in Crown Point, IN. Organization (NPI-2).
NPI number1992054712
StatusActive
Last updated in NPPESSep 7, 2012
Details
- NPI
- 1992054712
- Entity type
- Organization (NPI-2)
- Legal business name
- Kim Simic MD INC
- Organization subpart
- No
- Enumeration date
- Sep 7, 2012
- Last updated
- Sep 7, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 01040307B | IN | Yes |
Practice location
297 W. Franciscan Dr.Suite 108
Crown Point, IN 46307-4858
Phone 219-681-6830
Mailing address
4608 Thornbury Dr. WValparaiso, IN 46383-0816
Phone 219-681-6830
Authorized official
Kim Simic
President
2196816830
Is something wrong?
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All 7 Psychiatry Physician providers in Crown Point · All 1,805 providers in Crown Point
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