William Michael Smith, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2110 Issued in CO

Practice address

640 Gooseberry Dr Unit 908
Longmont, CO 80503-6434

Phone

(303) 651-9290

Fax

(303) 651-7158

NPI assigned

Jun 6, 2006

Last updated

May 9, 2013By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• WM. Michael Smith, PH.D, LLC

  • Psychologist
  • Longmont, CO
  • NPI 1184860348
  Medicare reassignment NPD Authorized official
• WM Michael Smith PHD PC

  dba Rocky Mountain Psychological Services

  • Clinical Psychologist
  • Longmont, CO
  • NPI 1316021801
  Authorized official Same address or phone
• Colorado Center for Neurological Rehabilitation

  • Nursing Facility/Intermediate Care Facility
  • Centennial, CO
  • NPI 1174894034
  NPD (past)
• Colorado Center for Neurological Rehabilitation Inc

  • Counselor
  • Englewood, CO
  • NPI 1144389172
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368057600000",
    "number": "1518906361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 GOOSEBERRY DR UNIT 908",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036434",
            "telephone_number": "303-651-9290",
            "fax_number": "303-651-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 GOOSEBERRY DR UNIT 908",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036434",
            "telephone_number": "303-651-9290",
            "fax_number": "303-651-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07211014",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Smith, CNTP
• Richard Smith
• Robert Matthew Smith, D.P.M, C.PED
• Rylie Smith
• Spenser Pete Smith
• Wallace Alexander Sneddon, M.D.
• Christine Anne Snyder, M.S.O.M., L.AC.
• Jeanine R Snyder, NP-C
• Yasmeen Sokol
• Karen Marleth Solis Ontiveros

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.