Kaitlin Smith PHD Psychologist PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KAITLIN SMITH PHD PSYCHOLOGIST PLLC

Practice address

884 Brighton Rd
Tonawanda, NY 14150-8169

Phone

(716) 517-0419

NPI assigned

Mar 4, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kaitlin Elizabeth Smith, PHDNPI 1043688740

Title

Owner

Phone

(716) 517-0419

Specialties & licenses 1

Addresses

Practitioners 1

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

• Kaitlin Smith, PHD

  • Clinical Neuropsychologist
  • Tonawanda, NY
  • NPI 1043688740
  NPD Authorized official

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1194472613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 BRIGHTON RD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508169",
            "telephone_number": "716-517-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "884 BRIGHTON RD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508169",
            "telephone_number": "716-517-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAITLIN SMITH PHD PSYCHOLOGIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-517-0419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Francis Jordan, DDS, MS
• Serena Karis Jung, PTA
• Georgiana Haumann Jungels, MA, ATR-BC, LCAT
• Hannah Kaempf
• James William Kaempf, RPH
• Stephanie Alicia Kalisz, PHARMD
• Christine Marie Kane, OTR
• Kathleen Marie Karpie, P.T.
• Chelsea Marie Kasinski
• Steve Kasprzak, O.D.

• Clinic/Center in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.