Lateena Smith, EDS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

2384168 Issued in IL

Practice address

682 W Boughton Rd
Bolingbrook, IL 60440-5700

Phone

(630) 398-6204

NPI assigned

Jul 5, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Power

  • School Psychologist
  • Bolingbrook, IL
  • NPI 1700389152
  NPD Authorized official
• Latrina Smith & Associates

  • Clinical Social Worker
  • Bolingbrook, IL
  • NPI 1356706162
  NPD (past)

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499212800000",
    "number": "1326569963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 PICCADILLY LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 W BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405700",
            "telephone_number": "630-398-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LATEENA",
        "name_prefix": "Ms.",
        "credential": "EDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2017-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "2384168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katlyn Smigielski, MED/EDS
• Brandis Diane Smith, LSW
• David H Smith, DMD
• Donrita Smith, CCC-SLP/L
• Karyn Smith
• Latrina Smith, LCSW
• Sarah Catherine Smith, M.P.T.
• Tara Smith, LCSW
• Tara E Smith, PT
• William Kelvyn Smith, ED.D.

• School Psychologist in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• School Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.