Christa Smith, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3375 Issued in CO

Practice address

8158 E 5TH Ave Ste 260
Denver, CO 80230-6446

Phone

(720) 536-5776

NPI assigned

Apr 28, 2017

Last updated

Apr 28, 2017By 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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 20, 2020 through Jul 20, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1407381270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8158 E 5TH AVE STE 260",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306446",
            "telephone_number": "720-536-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8158 E 5TH AVE STE 260",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306446",
            "telephone_number": "720-536-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Jane Smith, O.D.
• Carolyn L. Smith, DC
• Casey Smith, REGISTERED NURSE
• Cecilia Marie Smith, MSN
• Cheyenne Wayne Smith, MD
• Clark Samuel Smith, M.D.
• Clayton Smith, B.A.
• Cody Smith, LPC
• Colby A Smith
• Connor Smith, RN

• Clinical Psychologist in Denver, CO
• Providers in Denver, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.