Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Robert B. Simmonds, PHD

Individual provider Clinical Psychologist · NPI 1477591519

Dr. Robert B. Simmonds, PHD is a Clinical Psychologist in Fort Drum, New York. Qualified in 1977, 49 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
49
Licensed in
CA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

Bldg R-17 Conway St Bhd/tbi Clinic
Fort Drum, NY 13602
Phone: (315) 772-2364
Fax: (315) 772-8829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY11553 (CA)

Record details

NPI number1477591519
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESNovember 12, 2009
Mailing addressBldg R-17 Conway St, Bhd/Tbi Clinic, Fort Drum, NY 13602

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fort Drum