La Toya Bianca Smith, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05744 Issued in MD

Practice address

331 Gambrills Rd Ste 4B
Gambrills, MD 21054-1141

Phone

(410) 989-3558

Fax

(443) 926-5998

NPI assigned

Feb 6, 2017

Sex

Female

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

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.

Opted out of Medicare

Yes, effective Apr 1, 2019 through Apr 1, 2027

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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1033657499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657G ANNAPOLIS RD # 124",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761262",
            "telephone_number": "410-989-3558",
            "fax_number": "443-926-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 GAMBRILLS RD STE 4B",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541141",
            "telephone_number": "410-989-3558",
            "fax_number": "443-926-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LA TOYA",
        "middle_name": "BIANCA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2023-09-11",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla R Skinner
• Michelle Marie Skinner, D.O.
• Norman Douglas Slovis, DDS
• Arnold Jay Slutskin, DDS
• Crystal Marie Smith, CRNP
• Min Song
• Southern Maryland Family Dental
• Dejanee Spraggins
• Kyle Randy Steiner, DC
• Raymond A Sterling Sr., PA-C

• Clinical Psychologist in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.