Brandi D Smith, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY004223 Issued in GA

Practice address

6667 Vernon Woods Dr # a-20
Atlanta, GA 30328-3215

Phone

(404) 390-1322

NPI assigned

Aug 18, 2016

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Children'S Autism Assessment Center

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1174149728
  NPD Authorized official

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1235684382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 WINDING RIVER DR UNIT B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303501937",
            "telephone_number": "044-390-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6667 VERNON WOODS DR # A-20",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283215",
            "telephone_number": "404-390-1322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Pacella Park Dr",
            "address_purpose": "LOCATION",
            "city": "Randolph",
            "state": "MA",
            "postal_code": "023681755",
            "country_code": "US",
            "telephone_number": "781-440-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4046 Wetherburn Way Ste 1&4",
            "address_purpose": "LOCATION",
            "city": "Peachtree Corners",
            "state": "GA",
            "postal_code": "300924660",
            "country_code": "US",
            "telephone_number": "770-696-4384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANDI",
        "middle_name": "D",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY004223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110026265E",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003210870A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailee Lawren Smith, RBT
• Barbara Faye Smith
• Bethany Lasky Smith, AANP
• Bobby Anthony Smith, MD
• Bradley Lamar Smith, PHARMD
• Brandii Braelle Smith, FNP
• Brandon Smith
• Breanna Nicole Smith
• Brian Joseph Smith, PSY.D.
• Britanie R Smith, NP

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.