Pamela V. Agan-Smith, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

015259 Issued in NY

Practice address

101 State St
Schenectady, NY 12305-1707

Phone

(518) 346-0762

Fax

(518) 346-0783

NPI assigned

Mar 12, 2009

Last updated

Mar 17, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1083855522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051707",
            "telephone_number": "518-346-0762",
            "fax_number": "518-346-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051707",
            "telephone_number": "518-346-0762",
            "fax_number": "518-346-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAN-SMITH",
        "first_name": "PAMELA",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "015259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.