Laurel A. Smith, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5005 Issued in OH

Practice address

2098 Portage Rd
Suite 175
Wooster, OH 44691-1970

Phone

(330) 264-1999

Fax

(330) 264-1999

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psychological and Family Consultants, Inc.Group PAC ID 0446154355, 6 clinicians

Practice addresses (Care Compare)

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.

• Psychological & Family Consultants, Inc.

  • Psychologist
  • Canton, OH
  • NPI 1952460008
  Medicare reassignment Care Compare group NPD
• Firelands Regional Medical Center

  • General Acute Care Hospital
  • Sandusky, OH
  • NPI 1801884655
  NPD

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508924549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2098 PORTAGE RD",
            "address_2": "SUITE 175",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911970",
            "telephone_number": "330-264-1999",
            "fax_number": "330-264-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2098 PORTAGE RD",
            "address_2": "SUITE 175",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911970",
            "telephone_number": "330-264-1999",
            "fax_number": "330-264-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAUREL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167091",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric A Smith, M.D.
• Jenette Renee Karger Smith, LISW-S
• Jennifer Lynn Smith, O.D.
• John Smith
• Kelly S Smith, CNP
• Lauren Smith
• Lorraine Smith I
• Lyndsey Ilene Smith
• Markus Smith
• Pamela Rose Smith, LSW, COTA/L

• Clinical Psychologist in Wooster, OH
• Providers in Wooster, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.