Active NPI
Bridget Mechele Smith, M.D.
- Child & Adolescent Psychiatry Physician
- McCombe, MS
National Provider Identifier
1154522456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 22435
- Practice address
- 140 N 5TH Street
McCombe, MS 39648 - Phone
- (601) 352-7784
- NPI assigned
- May 31, 2007
- Last updated
- Dec 10, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 22435 | MS | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 22435 | MS | Primary |
Addresses
Primary practice location
140 N 5TH Street
McCombe, MS 39648
Mailing address
119 Rockbridge Circle
Clinton, MS 39056
Phone (269) 290-8513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02176325 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22435 | MS | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Lapeer | 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.
-
- Community/Behavioral Health Agency
- Lapeer, MI
- NPI 1275585929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449705600000",
"number": "1154522456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 ROCKBRIDGE CIRCLE",
"city": "CLINTON",
"state": "MS",
"postal_code": "39056",
"telephone_number": "269-290-8513",
"fax_number": "601-968-0028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 N 5TH STREET",
"city": "MCCOMBE",
"state": "MS",
"postal_code": "39648",
"telephone_number": "601-352-7784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRIDGET",
"middle_name": "MECHELE",
"name_prefix": "Miss",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2015-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "22435",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MS",
"license": "22435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02176325",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.