Healthcare Provider Details

I. General information

NPI: 1790105369
Provider Name (Legal Business Name): MONIQUE ELISE SIMPSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2014
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 FREEPORT RD
ASPINWALL PA
15215-2943
US

IV. Provider business mailing address

1070 MONTGOMERY RD STE 2198
ALTAMONTE SPRINGS FL
32714-7420
US

V. Phone/Fax

Practice location:
  • Phone: 412-444-8636
  • Fax: 844-688-8724
Mailing address:
  • Phone: 407-504-7121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC194846
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberME139316
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD463044
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD463044
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberC194846
License Number StateCA
# 6
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberME139316
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: