Emma Smith

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0005408 Issued in CO

Practice address

1610 29TH Avenue PL Ste 200
Greeley, CO 80634-6800

Phone

(970) 352-8311

NPI assigned

Nov 17, 2020

Sex

Female

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

Enrolled in CO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dragonfly Landing Family Services, PLLC

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1780437012
  Medicare reassignment NPD
• Health Psychology Associates PC

  • Psychologist
  • Greeley, CO
  • NPI 1275655805
  Medicare reassignment NPD

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1497358196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 BREWER DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805245307",
            "telephone_number": "913-832-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 29TH AVENUE PL STE 200",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806346800",
            "telephone_number": "970-352-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EMMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0005408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Diane Smith, MD
• Chase Kathleen Smith
• Craig A Smith, D.C.
• David B Smith, MD
• Debra S Smith, NNP
• Eric Smith, BS, CAS
• Kane Smith, DO
• Kinsey Smith
• Logan Smith
• Marilee Ann Smith, PSYD

• Clinical Psychologist in Greeley, CO
• Providers in Greeley, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.