Active NPI
James B Smith, LICENSEDPSYCHOLOGIST
- Family Psychologist
- Weirton, WV
National Provider Identifier
1306846597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 622
- Practice address
- 2436 Pennsylvania Ave
Suite 2
Weirton, WV 26062-3641 - Phone
- (304) 723-3423
- Fax
- (304) 723-3426
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | 622 | WV | Primary |
Addresses
Primary practice location
2436 Pennsylvania Ave
Suite 2
Weirton, WV 26062-3641
Mailing address
5501 Bartlett St
Pittsburgh, PA 15217-1529
Phone (304) 723-3423
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0023528001 | Medicaid | WV | |
| 550583609043 | Other | WV | BLUE CROSS/BLUE SHIELD |
| Y034223 | Other | WV | HEALTH PLAN |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 622 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1306846597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 BARTLETT ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152171529",
"telephone_number": "304-723-3423",
"fax_number": "304-723-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2436 PENNSYLVANIA AVE",
"address_2": "SUITE 2",
"city": "WEIRTON",
"state": "WV",
"postal_code": "260623641",
"telephone_number": "304-723-3423",
"fax_number": "304-723-3426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JAMES",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "LICENSEDPSYCHOLOGIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "WV",
"license": "622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0023528001",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "550583609043",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN",
"identifier": "Y034223",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weirton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.