Harold B Smith, PYS.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301010743 Issued in MI

Practice address

9067 US Highway 31
Berrien Springs, MI 49103-1664

Phone

(269) 277-0549

NPI assigned

Feb 20, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Life Coach Psychology PLCGroup PAC ID 9133304744, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Life Coach Psychology PLC

  • Clinical Psychologist
  • Berrien Springs, MI
  • NPI 1831495993

  MI

  Medicare reassignment Care Compare group Authorized official
• Life Coach Psychology

  • Community/Behavioral Health Agency
  • Berrien Springs, MI
  • NPI 1023317161
  NPD (past) Authorized official
• Life Coach Psychology

  • Counseling Psychologist
  • Berrien Springs, MI
  • NPI 1245543370

  Counseling

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1003881533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9067 US 31",
            "address_2": "SUITE 203",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "49103",
            "telephone_number": "269-471-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9067 US HIGHWAY 31",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031664",
            "telephone_number": "269-277-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HAROLD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PYS.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301010743",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20041353A",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "ON12920",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003881533",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shangrila Home
• Lars Sherburn
• Jane Anne Sherwin, RN
• Crystal Smeal
• Chana Ione Smith, PT
• Kourtney Renee Smith, DPT, PT
• Sarah K. Smith, LMT
• Chloe M Son, D.M.D.
• Linda Song, NP-C
• Southwestern Medical Clinic Oc

• Psychologist in Berrien Springs, MI
• Providers in Berrien Springs, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.