Mike Smith

Primary specialty

Mental Health Occupational TherapistTaxonomy code 225XM0800X

License

12342 Issued in NE

Practice address

5217 S 28TH St
Omaha, NE 68107-3402

Phone

(402) 715-5440

NPI assigned

Mar 13, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Stephen Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Omaha, NE
  • NPI 1205135001
  NPD (past)

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1356767479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 GEORGIA AVE",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681472426",
            "telephone_number": "402-397-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 S 28TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681073402",
            "telephone_number": "402-715-5440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5115 F St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681172807",
            "country_code": "US",
            "telephone_number": "402-397-9866 x113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MIKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-13",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "NE",
            "license": "12342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melodye Smith
• Meyokia Nicole Smith, APRN
• Michael Smith
• Michael Smith, MD
• Michaela Rose Smith, MD
• Mikel Smith
• Milaysia Smith
• Mildred V Smith
• Mizetta Smith
• Monique G Smith, MD

• Mental Health Occupational Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.