Susan Jarmuz-Smith, PSY.D., BCBA-D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS1492 Issued in ME

Practice address

1321 Washington Ave Ste 302
Portland, ME 04103-3675

Phone

(207) 613-7324

Fax

(207) 613-7333

NPI assigned

Sep 23, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Foreside Behavior Associates

  • Clinical Psychologist
  • Portland, ME
  • NPI 1982076485

  Behavior Analyst

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1164824082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 WASHINGTON AVE STE 302",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033675",
            "telephone_number": "207-613-7324",
            "fax_number": "207-613-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 WASHINGTON AVE STE 302",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033675",
            "telephone_number": "207-613-7324",
            "fax_number": "207-613-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARMUZ-SMITH",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D., BCBA-D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS1492",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "BACB238109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Kendall Janak, LCSW
• Megan Jancura
• Ellen B Jankowski, PA-C
• Nathan Janoff, LCSW
• Hani Toufic Jarawan, MD
• Darlene C Jarrell
• Juliet Jarrell, MD
• Matthew Jarvis
• Rebecca Jaynes, LCPC
• William Dean Jeanblanc, MD

• Clinical Psychologist in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.

Verify at the official NPI Registry.