Thomas Michael Smith, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

22707 Issued in CA

Practice address

805 N Lincoln St
Suite B
Dixon, CA 95620-2172

Phone

(707) 235-8600

Fax

(707) 678-0666

NPI assigned

May 19, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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.

• Thomas M. Smith, Psy.D.

  • Clinical Psychologist
  • Dixon, CA
  • NPI 1770894123

  Clinical

  NPD (past) Authorized official
• Mahaan Rehab. Services Inc

  • Physical Therapist
  • Dixon, CA
  • NPI 1508016759
  NPD (past)

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1013142173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N LINCOLN ST",
            "address_2": "SUITE B",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956202172",
            "telephone_number": "707-235-8600",
            "fax_number": "707-678-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N LINCOLN ST",
            "address_2": "SUITE B",
            "city": "DIXON",
            "state": "CA",
            "postal_code": "956202172",
            "telephone_number": "707-235-8600",
            "fax_number": "707-678-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "22707",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "22707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PSYCHOLOGY",
            "identifier": "22707",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James D Sanderson
• Sherri Kathleen Schlegel
• Self Acceptance Recovery Homes
• Michelle Diane Sharma, PHARMD
• John D.. Smiley, PHARM.DR.
• Emily Solomon
• Speech Therapy Consulting, Inc.
• Cristina Sperry, CA PT LICENSE
• Tyler Dean Spilman, OD
• Karen Sprague, N.P.

• All providers in Dixon, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.