Judith a. Smith, Psy.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0945 Issued in OR

Legal business name

JUDITH A. SMITH, PSY.D., P.C.

Practice address

1732 SE Ash St
Portland, OR 97214-1526

Phone

(503) 239-7201

Fax

(503) 774-4589

NPI assigned

Feb 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Judith A Smith, PSYD

Title

President

Phone

(503) 239-7201

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1487627444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 SE ASH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141526",
            "telephone_number": "503-239-7201",
            "fax_number": "503-774-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 SE ASH ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972141526",
            "telephone_number": "503-239-7201",
            "fax_number": "503-774-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH A. SMITH, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-239-7201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "0945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilith Marion Judd, M.D.
• Nicole Marie Judd, MA, MA, PSS
• Anaka Danielle Judge, RN
• Kathleen Mary Judge, LMT
• Matthew Judge, M.D.
• Judith Boothby Ms DC PC
• Erica Judkins, PHARMD
• Jonathon Philip Garztman Judkins, MD
• Christopher Daniel Judson
• Lucas Alexander Judson

• Clinical Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.