Michael H Smith, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT14953 Issued in CA

Practice address

3640 Grand Ave
Ste 204
Oakland, CA 94610-2023

Phone

(510) 832-8500

Fax

(510) 832-8505

NPI assigned

May 22, 2008

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1053578310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 GRAND AVE",
            "address_2": "STE 204",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102023",
            "telephone_number": "510-832-8500",
            "fax_number": "510-832-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 GRAND AVE",
            "address_2": "STE 204",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102023",
            "telephone_number": "510-832-8500",
            "fax_number": "510-832-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT14953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marietta Smith, MD
• Mary Ellen Smith, LCSW
• Matthew H Smith, PA
• Matthew Michael Smith
• Maureen Smith
• Myesia Smith, DPO
• Nikia Kiiausha Shanee Smith
• Patricia Jean Smith
• Paul Smith, MD
• Rachel Smith

• Marriage & Family Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.