Individual provider Active NPI

Brooke M Smith, PH.D.

  • Clinical Psychologist
  • Reno, NV
National Provider Identifier
1467752964
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY1084 Issued in NV
Practice address
745 W Moana LN
Reno, NV 89509-4991
Phone
(775) 982-1000
Fax
(775) 982-8046
NPI assigned
Oct 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301018899 MI
Clinical Psychologist 103TC0700X PY1084 NV Primary

Addresses

Primary practice location

745 W Moana LN
Reno, NV 89509-4991

Mailing address

1155 Mill St # M14
Reno, NV 89502-1576
Phone (775) 982-5262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250422000249 NV Practitioner - Clinical Psychologist 2567987605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

10101 Double R Blvd
Reno, NV 89521-5931
Phone (775) 982-7878

5190 Neil Rd
Suite 215
Reno, NV 89502-6509
Phone (775) 982-7800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301018899MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince May 14, 2025 Accepting new patients
Community Care Services LLC CurrentSince May 14, 2025 Accepting new patients
Community Care Services LLC Current Accepting new patients

Locations

1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

975 Ryland St
Ste 100
Reno, NV 89502
Phone (775) 982-5210

Interoperability endpoints

  • Direct secure messaging: bsmith214099@direct.renown.org

Organizations & group practices 3

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": "1288396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1467752964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # M14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 W MOANA LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094991",
            "telephone_number": "775-982-1000",
            "fax_number": "775-982-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BROOKE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-30",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301018899",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY1084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.