Active NPI
Inner Way LLC
- Clinical Psychologist
- Orlando, FL
National Provider Identifier
1396475562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- INNER WAY LLC
- Practice address
- 16877 E Colonial Dr Ste 327
Orlando, FL 32820-1910 - Phone
- (858) 876-4539
- Fax
- (407) 704-1787
- NPI assigned
- Jun 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David S Smiley, PHD
- Title
- Owner/Psychologist
- Phone
- (858) 876-4539
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
16877 E Colonial Dr Ste 327
Orlando, FL 32820-1910
Mailing address
16877 E Colonial Dr Ste 327
Orlando, FL 32820-1910
Phone (858) 876-4539
Other names 1
- The Inner Way
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Orlando, FL
- NPI 1235404179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686873600000",
"number": "1396475562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16877 E COLONIAL DR STE 327",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328201910",
"telephone_number": "858-876-4539",
"fax_number": "407-704-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16877 E COLONIAL DR STE 327",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328201910",
"telephone_number": "858-876-4539",
"fax_number": "407-704-1787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNER WAY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-12",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A",
"authorized_official_last_name": "SMILEY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
"authorized_official_telephone_number": "858-876-4539",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Inner Way",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.