Individual provider Active NPI

Claire Smith Roney, PH.D.

  • Psychologist
  • Port Townsend, WA
National Provider Identifier
1487866968
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY0001864 Issued in WA
Practice address
905 Hidden Trail Rd
Port Townsend, WA 98368-9602
Phone
(360) 379-5754
NPI assigned
May 4, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

905 Hidden Trail Rd
Port Townsend, WA 98368-9602
Phone (360) 379-6259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040512000002 WA Practitioner - Clinical Psychologist 4385633593 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY0001864WAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Claire Smith Roney, PH.D., Inc., PC CurrentSince May 1, 2004 Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY0001864 WA Primary
Psychologist 103T00000X 1108 OR

Addresses

NPPES NPI Registry

Primary practice location

905 Hidden Trail Rd
Port Townsend, WA 98368-9602

Mailing address

905 Hidden Trail Rd
P.O.Box 1611
Port Townsend, WA 98368-9602
Phone (360) 379-5754

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
7077795MedicaidWA

Other names 1

NPPES NPI Registry
  • Dr. Claire Maria Smith Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 1, 2013.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1487866968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 HIDDEN TRAIL RD",
            "address_2": "P.O.BOX 1611",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983689602",
            "telephone_number": "360-379-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HIDDEN TRAIL RD",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983689602",
            "telephone_number": "360-379-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONEY",
        "first_name": "CLAIRE",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY0001864",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "1108",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7077795",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAIRE",
            "last_name": "SMITH",
            "middle_name": "MARIA",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Port Townsend, WA

Sources for this page

Verify at the official NPI Registry.