Individual ProviderMichael Y. SimonMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address5665 College Ave, Suite 340c, Oakland, CA 94618-1625(510) 225-9169PECOS EnrollmentBased on the most recent information from CMS, provider Michael Y. Simon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1710386685Provider TypeIndividualFull NameSimon, Michael Y.CredentialLMFTGenderMaleSole ProprietorYesEnumeration Date8/17/2014Last Updated8/17/2014Contact InformationPractice LocationPractice Address5665 College Ave, Suite 340c, Oakland, CA 94618-1625Phone(510) 225-9169FaxUnlisted FaxMailing LocationMailing Address5665 College Ave, Suite 340c, Oakland, CA 94618-1625Phone(510) 225-9169FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseMFC38305California