Active NPI
Leah Smith
- Psychologist
- Saint Johns, MI
National Provider Identifier
1033094487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6362010149
- Practice address
- 1505 Waterford Pkwy
Saint Johns, MI 48879-9630 - Phone
- (989) 292-3572
- NPI assigned
- Aug 6, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 6362010149 | MI | Primary |
Addresses
Primary practice location
1505 Waterford Pkwy
Saint Johns, MI 48879-9630
Mailing address
1505 Waterford Pkwy
Saint Johns, MI 48879-9630
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 |
|---|---|---|---|
| 6362010149 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1033094487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 WATERFORD PKWY",
"city": "SAINT JOHNS",
"state": "MI",
"postal_code": "488799630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 WATERFORD PKWY",
"city": "SAINT JOHNS",
"state": "MI",
"postal_code": "488799630",
"telephone_number": "989-292-3572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LEAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-06",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6362010149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Johns, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.