Smockville Professional Services, Inc

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

SMOCKVILLE PROFESSIONAL SERVICES, INC

Practice address

22344 SW Main St
Sherwood, OR 97140-9416

Phone

(503) 625-2768

Fax

(503) 625-3768

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Gene Random Head

Title

President

Phone

(503) 625-2768

Specialties & licenses 1

Addresses

Other names 1

• Smockville Counseling Doing business as

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1457526964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22344 SW MAIN ST",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409416",
            "telephone_number": "503-625-2768",
            "fax_number": "503-625-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22344 SW MAIN ST",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409416",
            "telephone_number": "503-625-2768",
            "fax_number": "503-625-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMOCKVILLE PROFESSIONAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "HEAD",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "RANDOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-625-2768",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smockville Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherwood Naturopathic Medicine, LLC
• Sherwood School District 88J
• Karie E Shirtz, RDH
• Rebekah Skaggs
• Charlett Ann Smith, LPC
• Rick Quinton Snook
• Megan Lee Snow, LPC
• Guljit S Sodhi, MD
• Sarah Sommerville, MA
• Gerardo RJ Sosa

• Cognitive & Behavioral Psychologist in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Cognitive & Behavioral Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.