Kyle Simon, PSYD, LP, LAC
NPI 1649794165ActiveIndividual· Psychologist, Clinical· Northglenn, CO
Psychologist, Clinical (PSYD, LP, LAC) with Family Care Center LLC, practicing in Northglenn, Colorado. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1649794165 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD, LP, LAC |
| Sole proprietor | No |
| NPI issued | Jul 26, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Jul 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY.0005396 | CO |
| Counselor, Mental Health | 101YM0800X | — | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CO) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Family Care Center LLCColorado Springs, CO · 734 clinicians
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