Susan D Smith, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY255 Issued in NV

Practice address

458 Court St.
Reno, NV 89501-1709

Phone

(775) 324-1234

Fax

(775) 323-2220

NPI assigned

Jan 29, 2007

Last updated

Nov 21, 2016By the provider in NPPES

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

Enrolled in NV

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 1

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nevada Psychotherapy Services, a Gilbert-Eliot Prof LLC

  dba Nevada Psychotherapy Services

  • Marriage & Family Therapist
  • Reno, NV
  • NPI 1346536240
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1386780005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 COURT ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011709",
            "telephone_number": "775-324-1234",
            "fax_number": "775-323-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 COURT ST.",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895011709",
            "telephone_number": "775-324-1234",
            "fax_number": "775-323-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SUSAN",
        "middle_name": "D",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shain Nicolai Smith, DC
• Sharlee Smith, PSS
• Stephanie Jane Smith
• Stephanie Marie Smith, APRN, RN
• Steven Raymond Smith, MD
• Terence C Smith, RN
• Teresa Marie Smith
• Tonja Lee Smith, LPN
• Tonya Smith
• Travis Smith, D.O.

• Clinical Psychologist in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.