Individual provider Active NPI

Smita Nagpal, PH.D.

  • Family Psychologist
  • Adrian, MI
National Provider Identifier
1548317464
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
6301011112 Issued in MI
Practice address
403 N Broad St
Adrian, MI 49221-2127
Phone
(517) 266-8500
Fax
(866) 223-1175
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X 6301011112 MI Primary

Addresses

Primary practice location

403 N Broad St
Adrian, MI 49221-2127

Mailing address

2376 Wildwood TRL
Saline, MI 48176-1657
Phone (517) 266-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301011112MIMDFamily Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Still Waters Counseling, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548317464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2376 WILDWOOD TRL",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761657",
            "telephone_number": "517-266-8500",
            "fax_number": "866-223-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N BROAD ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212127",
            "telephone_number": "517-266-8500",
            "fax_number": "866-223-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGPAL",
        "first_name": "SMITA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MI",
            "license": "6301011112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.