Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447135801 Individual Practitioner Female Practitioner

Mirella Lidia Simon

Speech-Language Pathologist • Tracy, CA

Professional Overview & Biography Verified Profile Summary

Mirella Simon is a registered healthcare professional specializing in Speech-Language Pathologist in Tracy, CA. Practice services are available at 2185 W GRANT LINE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2185 W Grant Line Rd

Tracy, CA 953777309

Telephone 2098393200
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Tracy, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
25 Specialists

Practicing in Tracy, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Myra Mae Haya , CCC-SLP

Speech-Language Pathologist

NPI 1063185957

Speech-Language Pathologist (Certificate of Clinical Competence)

Timothy Wong , LMFT

Marriage & Family Therapist

NPI 1093970618

Licensed Marriage and Family Therapist

Dr. James Stephen , MD

Internal Medicine

NPI 1144308032

Doctor of Medicine (M.D.)

Dr. Cynthia Dulay , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1316099542

Doctor of Medicine (M.D.)

NPI 1316289929

Doctor of Medicine (M.D.)

NPI 1356420145

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 06, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2025

Registered at 2185 W GRANT LINE RD, TRACY, CA 953777309 (Tel: 2098393200)

📍
Updated Business Mailing Address August 06, 2025

Registered at 8351 PINOT GRIGIO ST, ROSEVILLE, CA 957476680 (Tel: 5307132237)

👤
Provider Name / Credentials Updated August 06, 2025

Recorded as MIRELLA SIMON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2025

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration August 06, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447135801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2025
Last Update: August 06, 2025
Sole Proprietor: No

Mailing Address

8351 Pinot Grigio St

Roseville, CA 957476680

Phone: 5307132237

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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