Active NPI
Shawn T Smith, PSY.D.
- Psychologist
- Wheat Ridge, CO
National Provider Identifier
1003027343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3162
- Practice address
- 4045 Wadsworth Blvd Ste 200
Wheat Ridge, CO 80033-4627 - Phone
- (724) 465-1360
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3162 | CO | Primary |
Addresses
Primary practice location
4045 Wadsworth Blvd Ste 200
Wheat Ridge, CO 80033-4627
Mailing address
4045 Wadsworth Blvd Ste 200
Wheat Ridge, CO 80033-4627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3162 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1003027343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 WADSWORTH BLVD STE 200",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 WADSWORTH BLVD STE 200",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800334627",
"telephone_number": "724-465-1360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SHAWN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "3162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.