Ryan Edward Smith

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

D7196198 Issued in CA

Practice address

4010 Moorpark Ave Ste 118
San Jose, CA 95117-1804

Phone

(408) 518-0440

NPI assigned

Aug 12, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1467885582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 MOORPARK AVE STE 118",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 MOORPARK AVE STE 118",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171804",
            "telephone_number": "408-518-0440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21455 Birch St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945412165",
            "country_code": "US",
            "telephone_number": "510-583-0414 x101",
            "fax_number": "510-583-0410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RYAN",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-12",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "D7196198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Taylor Smith
• Naomi Smith
• Noma Penny Smith, MSW
• Nora Smith
• Robert Charles Smith
• Samantha Rae Smith
• Sandra Smith
• Shawn M Smith
• Sheana Rose Smith
• Sheridan Kelly Smith

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.