Individual provider Active NPI

Natasha L Smith, PH.D.

  • Psychologist
  • Columbia, MD
National Provider Identifier
1245503424
Registry record updated Feb 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
04987 Issued in MD
Practice address
10632 Little Patuxent Pkwy
Suite 245
Columbia, MD 21044-3273
Phone
(443) 814-9501
NPI assigned
Feb 17, 2012
Last updated
Feb 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 04987 MD Primary

Addresses

Primary practice location

10632 Little Patuxent Pkwy
Suite 245
Columbia, MD 21044-3273

Mailing address

5307 Wyndholme Cir
Unit 302
Baltimore, MD 21229-3248
Phone (410) 948-3921

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
04987MDMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
NLS Psychological Services Current Accepting new patients
KTS Mental Health Group, Inc CurrentSince Jul 29, 2021 Accepting new patients
Universal Outcomes Past Accepting new patients

Locations

686 Pennsylvania Ave
Hagerstown, MD 21740
Phone (240) 469-4360

8910 Harford Rd
Parkville, MD 21234
Phone (443) 708-3887

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329436800000",
    "number": "1245503424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 WYNDHOLME CIR",
            "address_2": "UNIT 302",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212293248",
            "telephone_number": "410-948-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10632 LITTLE PATUXENT PKWY",
            "address_2": "SUITE 245",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443273",
            "telephone_number": "443-814-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NATASHA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2012; 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.