Active NPI
Tammie Lynne Smith, PSYD
- Psychologist
- Princeton, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 753
- Practice address
- 105 Gott Rd
Princeton, WV 24740-2103 - Phone
- (304) 425-3327
- Fax
- (304) 425-4577
- NPI assigned
- Aug 16, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 753 | WV | Primary |
Addresses
Primary practice location
105 Gott Rd
Princeton, WV 24740-2103
Mailing address
105 Gott Rd
Princeton, WV 24740-2103
Phone (304) 425-3327
Other practice location 1
200 12th Street Ext
Princeton, WV 24740-2329
Phone (304) 425-9541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9204104-000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
105 Gott Rd
Princeton, WV 24740-2103
Phone (304) 425-3327
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizons Psychological Associates PLLC | Current | Accepting new patients | |
| Southern Highlands Community Mental Health Center, Inc. | Psychologist | Current | Accepting new patients |
| Monroe County Health Center Board of Trustees | Past | Accepting new patients | |
| Monroe County Health Center Board of Trustees | Past | Accepting new patients |
Locations
102 Howard Ave
Mullens, WV 25882
Phone (304) 294-5353
1422 E Main St
Ste 4
Princeton, WV 24740
Phone (304) 425-3327
105 Gott Rd
Princeton, WV 24740
Phone (304) 425-3327
200 12th Street Ext
Princeton, WV 24740
Phone (304) 425-9541
19805 Coal Heritage Rd
Welch, WV 24801
Phone (304) 425-9541
Organizations & group practices 4
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.
-
- Counselor
- Princeton, WV
- NPI 1700095882
-
- Community/Behavioral Health Agency
- Princeton, WV
- NPI 1740234673
Psychologist
-
- Federally Qualified Health Center (FQHC)
- Forest Hill, WV
- NPI 1952814881
-
- Federally Qualified Health Center (FQHC)
- New Castle, VA
- NPI 1851585046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1427040526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 GOTT RD",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402103",
"telephone_number": "304-425-3327",
"fax_number": "304-425-4577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 GOTT RD",
"city": "PRINCETON",
"state": "WV",
"postal_code": "247402103",
"telephone_number": "304-425-3327",
"fax_number": "304-425-4577"
}
],
"practiceLocations": [
{
"address_1": "200 12th Street Ext",
"address_purpose": "LOCATION",
"city": "Princeton",
"state": "WV",
"postal_code": "247402329",
"country_code": "US",
"telephone_number": "304-425-9541",
"fax_number": "304-425-1332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "TAMMIE",
"middle_name": "LYNNE",
"name_prefix": "Miss",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-16",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "753",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9204104-000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.