Individual provider Active NPI

Brandy L Smith, PH.D.

  • Psychologist
  • Auburn, AL
National Provider Identifier
1366111635
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1745 Issued in AL
Practice address
1767 Solamere CT
Auburn, AL 36832-5101
Phone
(901) 218-8463
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1745 AL Primary

Addresses

Primary practice location

1767 Solamere CT
Auburn, AL 36832-5101

Mailing address

1767 Solamere CT
Auburn, AL 36832-5101
Phone (901) 218-8463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211028001143 AL Practitioner - Clinical Psychologist 7214325042 Reassigns benefits to 1 organization
I20220727004432 VA Practitioner - Clinical Psychologist 7214325042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1000 Jefferson St
Suite 2C
Lynchburg, VA 24504-1724
Phone (855) 284-7483

400 Office Park Dr
Suite 230
Mountain BRK, AL 35223-3410
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1745ALMDSports Medicine (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Sep 22, 2021 Accepting new patients

Locations

1101 McMurtrie Dr NW
Ste C3
Huntsville, AL 35806
Phone (334) 500-4245

400 Office Park Dr
Ste 308
Mountain Brk, AL 35223
Phone (205) 582-4085

400 Office Park Dr
Ste 230
Mountain Brk, AL 35223
Phone (205) 825-1423

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1366111635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 SOLAMERE CT",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368325101",
            "telephone_number": "901-218-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 SOLAMERE CT",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368325101",
            "telephone_number": "901-218-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRANDY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "1745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.