Mary Ann Smith, M.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1833685 Issued in IL

Practice address

14 Horseshoe LN
Lemont, IL 60439-9115

Phone

(630) 257-1445

NPI assigned

Jun 11, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mary Ann Dichtel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1465603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465603200000",
    "number": "1184073934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HORSESHOE LN",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604399115",
            "telephone_number": "630-257-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HORSESHOE LN",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604399115",
            "telephone_number": "630-257-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-11",
        "last_updated": "2016-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1833685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DICHTEL",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judy Ann Shumicki, LCPC
• Stephanie Ann Size, DNP, APRN, AGPCNP-BC
• Smile Design, LTD
• Don A Smith, PHARM D
• Liam Smith
• Elizabeth Anne Smoczynski, LCSW
• Sparkle Dental Group LLC
• Mark A Spencer, DN
• Jennifer L. Splitt-Krull, DDS
• St Joseph Rehabilitation Services LLC

• School Psychologist in Lemont, IL
• Providers in Lemont, IL by specialty
• School Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2016; 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.