SIMON D. THEBAULT M.D. – NPI #1174258305
Psychiatry & Neurology
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
SIMON THEBAULT is a psychiatry & neurologist located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1174258305 to SIMON THEBAULT on July 21, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology
The NPI profile was previously updated about 4 years ago on Sep 28, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SIMON THEBAULT below.
NPI Profile for
SIMON D. THEBAULT
(about 4 years ago)
2ND FLOOR
PHILADELPHIA, PA 19104 Phone: (215) 316-5151 Fax:
APT 408
ARDMORE, PA 19003 Phone: (267) 588-2244 Fax:
Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2084N0400X - Psychiatry & Neurology / Neurology (Primary) |
PA | MD478091 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.