Ann Emilie-Clare Smith, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301013774 Issued in MI

Practice address

1750 S Telegraph Rd
Suite 101
Bloomfield Hills, MI 48302-0166

Phone

(248) 451-9085

Fax

(248) 451-9089

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ann Emilie-Clare Smith PSYD LP P.C.

  • Clinical Psychologist
  • Ferndale, MI
  • NPI 1174029177
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1194943209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 W 9 MILE RD STE 103",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201749",
            "telephone_number": "248-535-2647",
            "fax_number": "888-375-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S TELEGRAPH RD",
            "address_2": "SUITE 101",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020166",
            "telephone_number": "248-451-9085",
            "fax_number": "248-451-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANN",
        "middle_name": "EMILIE-CLARE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3600",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Sinishtaj, PA-C
• Sleep and Obesity Medicine PLC
• Sleep Disorders-Oral Solutions for Total Health, PLLC
• Rachel Smail-Crevier
• Alan Gerald Smith
• Devina Smith
• Joann M Smith, MD
• Wendy Smith, PH.D.,LP
• Deborah Margaret Snyder, MA, LLP
• Jeffrey Drake Snyder, PT, DPT

• Psychologist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.