Ann Emilie-Clare Smith PSYD LP P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301013774 Issued in MI

Legal business name

ANN EMILIE-CLARE SMITH PSYD LP P.C.

Practice address

195 W 9 Mile Rd Ste 103
Ferndale, MI 48220-1749

Phone

(248) 535-2647

NPI assigned

Mar 30, 2018

Last updated

Mar 30, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ann Emilie-Clare Smith, PSYDNPI 1194943209

Title

Psychologist

Phone

(248) 535-2647

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann Emilie-Clare Smith, PSY.D.

  • Psychologist
  • Bloomfield Hills, MI
  • NPI 1194943209
  Medicare reassignment Authorized official
• Nada Hashem-Younes, DLLP

  • Clinical Psychologist
  • Northville, MI
  • NPI 1225643414
  NPD
• Mary Pendleton

  • Clinical Psychologist
  • Ferndale, MI
  • NPI 1255059689
  NPD (past)

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1174029177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 SUNNYKNOLL AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721791",
            "telephone_number": "248-535-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W 9 MILE RD STE 103",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201749",
            "telephone_number": "248-535-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN EMILIE-CLARE SMITH PSYD LP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "EMILIE-CLARE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-535-2647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301013774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194943209",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN BOARD OF PSYCHOLOGY",
            "identifier": "6301013774",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11819364",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Andaloro
• Peter Nils Andersen, D.C.
• Alice Arulselvi Andrews
• Karen Jane Andrews
• Angela Ramsey, LLC (Quiet Minds Counseling, LLC)
• Christine M. Anselmo
• Crystal Anthony
• Solangel Arce
• Art in Medical Equipment, Inc
• Natalia Asimakis

• Clinical Psychologist in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.