Active NPI
Patricia W Smart, PSY.D.
- Clinical Psychologist
- Mason, OH
National Provider Identifier
1245240084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6892
- Practice address
- 8587 S Mason Montgomery Rd
Ste 9
Mason, OH 45040-9233 - Phone
- (513) 492-7505
- NPI assigned
- Aug 8, 2006
- Last updated
- Apr 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6892 | OH | Primary |
Addresses
Primary practice location
8587 S Mason Montgomery Rd
Ste 9
Mason, OH 45040-9233
Mailing address
3328 Ravine PL
Maineville, OH 45039-8714
Phone (513) 492-7505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6892 | OH | MD | Clinical Psychologist |
| 30755 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bio-Services Inc | Clinical | Past | Accepting new patients |
| Orestes Romero MD PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Uri L. Gonik, PH.D. & Associates
- Clinical Psychologist
- Victoria, TX
- NPI 1104969435
-
- Family Medicine Physician
- Victoria, TX
- NPI 1821010786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364860800000",
"number": "1245240084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3328 RAVINE PL",
"city": "MAINEVILLE",
"state": "OH",
"postal_code": "450398714",
"telephone_number": "513-492-7505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8587 S MASON MONTGOMERY RD",
"address_2": "STE 9",
"city": "MASON",
"state": "OH",
"postal_code": "450409233",
"telephone_number": "513-492-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART",
"first_name": "PATRICIA",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2013-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.