Active NPI
Ronald J. Smith, PSY.D.
- Psychologist
- Essex, VT
National Provider Identifier
1043494669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 891
- Practice address
- 8 Essex Way
Essex, VT 05451-8268 - Phone
- (802) 288-1001
- NPI assigned
- Dec 18, 2007
- Last updated
- Dec 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 891 | VT | Primary |
Addresses
Primary practice location
8 Essex Way
Essex, VT 05451-8268
Mailing address
59 Hanley LN
Jericho, VT 05465-3146
Phone (802) 899-1025
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 891 | VT | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Azimuth Counseling & Therapeutic Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Essex Junction, VT
- NPI 1821116633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1043494669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 HANLEY LN",
"city": "JERICHO",
"state": "VT",
"postal_code": "054653146",
"telephone_number": "802-899-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 ESSEX WAY",
"city": "ESSEX",
"state": "VT",
"postal_code": "054518268",
"telephone_number": "802-288-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RONALD",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-18",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VT",
"license": "891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Essex, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.