Jamie Lynn Smith, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6750 Issued in OH

Practice address

1714 Boardman Poland Rd Ste 9
Youngstown, OH 44514-1957

Phone

(330) 861-3930

NPI assigned

Jul 31, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jamie Lynn Lewis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1194981902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 BOARDMAN POLAND RD STE 9",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141957",
            "telephone_number": "330-861-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 BOARDMAN POLAND RD STE 9",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445141957",
            "telephone_number": "330-861-3930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11500 Northlake Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452491661",
            "country_code": "US",
            "telephone_number": "513-247-4680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "LEWIS",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Destiney Smith
• Donna Jean Smith, RN
• Doris Smith, P.C.C.
• Eric Jason Smith, CRNA
• Heidi L Smith, CDCA
• Jamika M Smith, MA
• Jasmine Smith, LPN
• Jasmine A Smith
• Jordan Elizabeth Smith
• Joy L Smith

• Clinical Psychologist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.