Individual provider Active NPI

James B Smith, LICENSEDPSYCHOLOGIST

  • Family Psychologist
  • Weirton, WV
National Provider Identifier
1306846597
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
622 Issued in WV
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0023528001MedicaidWV
550583609043OtherWVBLUE CROSS/BLUE SHIELD
Y034223OtherWVHEALTH 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

LicenseStateTypeSpecialty
622WVMDPhysical 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.

Verify at the official NPI Registry.