Provider Demographics
NPI:1073401626
Name:SIMONS, REBEKHA RHIANNON (PSYM)
Entity type:Individual
Prefix:
First Name:REBEKHA
Middle Name:RHIANNON
Last Name:SIMONS
Suffix:
Gender:F
Credentials:PSYM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 MISSION ST APT 1
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-4595
Mailing Address - Country:US
Mailing Address - Phone:267-354-0617
Mailing Address - Fax:
Practice Address - Street 1:85 E NEWTON ST # M912
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-3553
Practice Address - Country:US
Practice Address - Phone:617-414-4645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program