David Joel Smock, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS004859L Issued in PA

Practice address

3716 Lehigh St
Suite 102
Whitehall, PA 18052-3437

Phone

(610) 821-9515

NPI assigned

Apr 14, 2006

Last updated

Dec 1, 2016By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in PA

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, 1984

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

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1558325597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 LEHIGH ST",
            "address_2": "SUITE 102",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523437",
            "telephone_number": "610-821-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 LEHIGH ST",
            "address_2": "SUITE 102",
            "city": "WHITEHALL",
            "state": "PA",
            "postal_code": "180523437",
            "telephone_number": "610-821-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOCK",
        "first_name": "DAVID",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS004859L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "757292",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "02889500",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Jean Silva, CRNP FNP-C
• Erika Yamel Sinchi
• Mikhail Sitkovetskiy, MIKHAIL SITKOVETSKIY
• George Skaff, D.D.S.
• Sariah Beverly Beulah Smith
• Timothy A Smolenyak, P.A.-C
• James Ray Snell, D.C.
• Amanda Lynn Snyder, ATC
• Timothy Scott Solan, D.M.D.
• Megan Sommer

• Clinical Psychologist in Whitehall, PA
• Providers in Whitehall, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.