Organization Active NPI

Smock & Associates, Inc.

  • Clinical Psychologist
  • Liberty, MO
National Provider Identifier
1235320003
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY00383 Issued in MO
Legal business name
SMOCK & ASSOCIATES, INC.
Practice address
134 N Water St
Liberty, MO 64068-1737
Phone
(816) 781-6690
Fax
(816) 781-2897
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Mrs. Harriet Alice Smock
Title
Corporate Officer/Officer Manager
Phone
(816) 781-6690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY00383 MO Primary

Addresses

Primary practice location

134 N Water St
Liberty, MO 64068-1737

Mailing address

134 N Water St
Liberty, MO 64068-1737
Phone (816) 781-6690

National Provider Directory

National Provider Directory

Locations

134 N Water St
Liberty, MO 64068
Phone (816) 781-6690

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1235320003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N WATER ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681737",
            "telephone_number": "816-781-6690",
            "fax_number": "816-781-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N WATER ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681737",
            "telephone_number": "816-781-6690",
            "fax_number": "816-781-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOCK & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "SMOCK",
        "authorized_official_first_name": "HARRIET",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "CORPORATE OFFICER/OFFICER MANAGER",
        "authorized_official_telephone_number": "816-781-6690",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "PY00383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.