Craig Wyatt Smith, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2006033722 Issued in MO

Practice address

3750 Lindell Blvd
113 McGannon Hall
Saint Louis, MO 63108-3412

Phone

(314) 977-2507

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023223625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 LEGENDS VIEW DR",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630252094",
            "telephone_number": "636-549-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 LINDELL BLVD",
            "address_2": "113 MCGANNON HALL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083412",
            "telephone_number": "314-977-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CRAIG",
        "middle_name": "WYATT",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2006033722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Smith, FNP
• Christina Jeanette Smith, PHARM.D.
• Christine Ann Smith, NP-C
• Christopher R Smith, MD
• Conor Alan Smith, MD
• Daniel Carlton Smith, MS, OTR/L, CHT
• Daniel Lloyd Smith, BACC LCSW
• Danielle Marie Smith, FNP-C
• Darlene Faye Smith, LPC
• Daron L Smith, RPH

• Marriage & Family Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Marriage & Family Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.