Organization Active NPI

Smith Psychotherapy LLC

  • Community/Behavioral Health Agency
  • Hingham, MA
National Provider Identifier
1174399869
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SMITH PSYCHOTHERAPY LLC
Practice address
121 North Street, #405
Hingham, MA 02043-9970
Phone
(617) 807-0077
NPI assigned
Dec 4, 2023
Last updated
Dec 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Mr. Amasa Smith, LICSWNPI 1912545799
Title
Psychotherapist/Owner
Phone
(617) 807-0077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

121 North Street, #405
Hingham, MA 02043-9970

Mailing address

121 North Street, #405
Hingham, MA 02043-9970
Phone (617) 807-0077

Other identifiers 1

IdentifierTypeStateIssuer
122577OtherMALICSW

National Provider Directory

National Provider Directory

Locations

121 North St
Unit 405
Hingham, MA 02043
Phone (617) 807-0077

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1174399869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 NORTH STREET, #405",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020439970",
            "telephone_number": "617-807-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NORTH STREET, #405",
            "city": "HINGHAM",
            "state": "MA",
            "postal_code": "020439970",
            "telephone_number": "617-807-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AMASA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "617-807-0077",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICSW",
            "identifier": "122577",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.