John J Smrcka, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 2163 Issued in CO

Practice address

6081 S Quebec St
Suite 103
Englewood, CO 80111-4536

Phone

(303) 694-0524

Fax

(303) 694-3290

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1427179316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6081 S QUEBEC ST",
            "address_2": "SUITE 103",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801114536",
            "telephone_number": "303-694-0524",
            "fax_number": "303-694-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6081 S QUEBEC ST",
            "address_2": "SUITE 103",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801114536",
            "telephone_number": "303-694-0524",
            "fax_number": "303-694-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMRCKA",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY 2163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41501063",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael William Smith, M.D.
• Michelle Joellen Smith, L. AC., DIPL. AC
• Ryan Walter Smith, DO
• Siobhan Smith
• Wade R Smith, M.D.
• Nicole Smyth
• Heather Snead, PSYD
• Brent A Snee, MD
• Courtney Snider, PT, DPT
• Karen R Snider, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.