WM. Michael Smith, PH.D, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

C-2110 Issued in CO

Legal business name

WM. MICHAEL SMITH, PH.D, LLC

Practice address

2919 17TH Avenue
#210
Longmont, CO 80503

Phone

(303) 651-9290

Fax

(303) 651-7158

NPI assigned

Dec 18, 2008

Organization subpart

No

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

Authorized official

Name

William Michael Smith, PHDNPI 1518906361

Title

Owner

Phone

(303) 651-9290

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Michael Smith, PH.D.

  • Clinical Psychologist
  • Longmont, CO
  • NPI 1518906361
  Medicare reassignment NPD Authorized official
• Brian Thomas Shea, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Boulder, CO
  • NPI 1396758835
  NPD (past)

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1184860348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 NELSON RD",
            "address_2": "P-103",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80503",
            "telephone_number": "303-651-9290",
            "fax_number": "303-651-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 17TH AVENUE",
            "address_2": "#210",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "80503",
            "telephone_number": "303-651-9290",
            "fax_number": "303-651-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM. MICHAEL SMITH, PH.D, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-651-9290",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CO",
            "license": "C-2110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wise Mind Integrative Psychaitry LLC
• Kelsey Wisinski, PT, DPT
• Without Limits Chiropractic PLLC
• Lisa Witzke, DOCTOR OF PHARMACY
• WM Michael Smith PHD PC
• Dana Wodtke, LMT
• Carolyn Wojtusiak, DC
• Helen A Wolfe, MSPT
• Kristen Wolfe, MD
• Rebecca Wolfe

• Psychologist in Longmont, CO
• Providers in Longmont, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.