Edward D Smith, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006519 Issued in IL

Practice address

14953 S Van Dyke Rd
Plainfield, IL 60544-5804

Phone

(815) 609-1544

Fax

(815) 609-1670

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Behavioral Health and Education Specialists IncGroup PAC ID 2567596190, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Behavioral Health and Education Specialists Inc

  • Clinical Psychologist
  • Plainfield, IL
  • NPI 1285812834
  Medicare reassignment Care Compare group NPD
• Bhes Medical Group, LLC

  • Clinical Psychologist
  • Plainfield, IL
  • NPI 1386059996
  NPD (past)
• Salt Creek Therapy Center

  • Psychiatry Physician
  • Hinsdale, IL
  • NPI 1518941541
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1013928829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14953 S VAN DYKE RD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445804",
            "telephone_number": "815-609-1544",
            "fax_number": "815-609-1670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14953 S VAN DYKE RD",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445804",
            "telephone_number": "815-609-1544",
            "fax_number": "815-609-1670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EDWARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie J Skroch, PT
• Tina Slater, DC
• Smile Care Dental Associates LLC
• Charyl Lynn Smith, MA, LPC, NCC
• Christopher Robert Smith, D.C.
• Hannah Smith, MSPT
• Imani Smith
• Janelle M Smith, PT
• Julie Smith
• Karen Lee Smith, PSY .D. LCPC

• Clinical Psychologist in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.