Carolyn J. Smith, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3173 Issued in MA

Practice address

586 Main St
Shrewsbury, MA 01545-2920

Phone

(508) 842-3100

Fax

(508) 842-0700

NPI assigned

Jan 29, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Carolyn J. Smith,PH.D.

  • Clinical Social Worker
  • Shrewsbury, MA
  • NPI 1285758102
  NPD (past) Authorized official

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467598656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 MAIN ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015452920",
            "telephone_number": "508-842-3100",
            "fax_number": "508-842-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 MAIN ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015452920",
            "telephone_number": "508-842-3100",
            "fax_number": "508-842-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAROLYN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "3173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0514802",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah S. Sloane, MS-CCC-SLP
• Janet A Slota, M.D.
• Small 4 All
• Elizabeth Maria Small, MS C.C.C., SLP
• Heather Small, LMT
• Brandon Smolarek, DC
• Leslie Peterson Soiles
• Songbird Dental PC
• Robert Jay Sovocool Jr., LICSW
• Linda Rebecca Spanagel, M.D.

• Clinical Psychologist in Shrewsbury, MA
• Providers in Shrewsbury, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.