Active NPI
Erin Michelle Smith, PSY.D.
- Clinical Psychologist
- Madison, AL
National Provider Identifier
1558385690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1197
- Practice address
- 100 Essex CT
Suite B
Madison, AL 35758-3139 - Phone
- (256) 774-7100
- Fax
- (256) 774-7579
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1197 | AL | Primary |
Addresses
Primary practice location
100 Essex CT
Suite B
Madison, AL 35758-3139
Mailing address
100 Essex CT
Suite B
Madison, AL 35758-3139
Phone (256) 774-7100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51512011 | Other | AL | BCBS FEDERAL EMPLOYEES |
| 51507014 | Other | AL | BCBS PROVIDER NUMBER |
| 2082972 | Other | AL | FIRST HEALTH PROVIDER NUM |
| 281495 | Other | AL | UNITED HEALTH CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050518001273 | AL | Practitioner - Clinical Psychologist | 5799726873 | Practice locations: Madison, AL |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7600 Hwy 72 W
Suite 102
Madison, AL 35758-9510
Phone (256) 774-7100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1558385690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 ESSEX CT",
"address_2": "SUITE B",
"city": "MADISON",
"state": "AL",
"postal_code": "357583139",
"telephone_number": "256-774-7100",
"fax_number": "256-774-7579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ESSEX CT",
"address_2": "SUITE B",
"city": "MADISON",
"state": "AL",
"postal_code": "357583139",
"telephone_number": "256-774-7100",
"fax_number": "256-774-7579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ERIN",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "1197",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FEDERAL EMPLOYEES",
"identifier": "51512011",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "51507014",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PROVIDER NUM",
"identifier": "2082972",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "281495",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.