Individual provider Active NPI

Tammie Lynne Smith, PSYD

  • Psychologist
  • Princeton, WV
National Provider Identifier
1427040526
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
753 Issued in WV
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

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9204104-000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408000044 WV Practitioner - Psychologist Billing Independently 8628061678 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
New Horizons Psychological Associates PLLC CurrentSince Aug 15, 2002 Accepting new patients
Southern Highlands Community Mental Health Center, Inc. Psychologist CurrentSince Oct 10, 2023 Accepting new patients
Monroe County Health Center Board of Trustees PastSince Sep 4, 2020 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.

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.

Verify at the official NPI Registry.