WM Michael Smith PHD PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2110 Issued in CO

Legal business name

WM MICHAEL SMITH PHD PC

Practice address

2919 17TH Ave
Suite 210
Longmont, CO 80503-1650

Phone

(303) 651-9290

Fax

(303) 651-7158

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Michael Smith, PHD

Title

President

Phone

(303) 651-9290

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rocky Mountain Psychological Services Doing business as

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1316021801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 NELSON RD APT P103",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805039383",
            "telephone_number": "303-651-9290",
            "fax_number": "303-651-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 17TH AVE",
            "address_2": "SUITE 210",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805031650",
            "telephone_number": "303-651-9290",
            "fax_number": "303-651-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM MICHAEL SMITH PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-651-9290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07211014",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hannah Teal Wirta, PT, DPT
• Wise Mind Integrative Psychaitry LLC
• Kelsey Wisinski, PT, DPT
• Without Limits Chiropractic PLLC
• Lisa Witzke, DOCTOR OF PHARMACY
• WM. Michael Smith, PH.D, LLC
• Dana Wodtke, LMT
• Carolyn Wojtusiak, DC
• Helen A Wolfe, MSPT
• Kristen Wolfe, MD

• Clinical Psychologist in Longmont, CO
• Providers in Longmont, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.