DR. SIMONE F M COLLYMORE PH.D. NPI 1740375948

NPI Information

  • NPI: 1740375948
  • Provider Name: DR. SIMONE F M COLLYMORE, PH.D.
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 212 FAIR STREET
    SUITE 2
    KINGSTON, NY
    ZIP 12401
  • Phone: (845) 338-4784

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NPI Details

DR. Simone F M Collymore, PH.D. is a clinical neuropsychologist in Kingston, NY with 30 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Simone F M Collymore, PH.D. NPI is 1740375948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

212 FAIR STREET
SUITE 2
KINGSTON, NY
ZIP 12401
Phone: (845) 338-4784
Fax: (845) 454-1441

The NPI 1740375948 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 10/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical013677NEW YORKNo
2103G00000XClinical Neuropsychologist013677NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1VE2681MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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