Kathleen a Smerko Pmhnp-BC LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN071540 Issued in AZ

Legal business name

KATHLEEN A SMERKO PMHNP-BC LLC

Practice address

1121 E Missouri Ave Ste 104
Phoenix, AZ 85014-2723

Phone

(602) 235-9506

Fax

(602) 235-9506

NPI assigned

May 22, 2015

Organization subpart

No

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

Authorized official

Name

Kathleen Ann Smerko, MS., PSY NP., BC.

Title

Sole Proprieter

Phone

(602) 235-9505

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randy Thomas Gearhart, MSSA, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1720091291
  NPD (past)

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1558740548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 E MISSOURI AVE STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142723",
            "telephone_number": "602-235-9506",
            "fax_number": "602-235-9506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E MISSOURI AVE STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142723",
            "telephone_number": "602-235-9506",
            "fax_number": "602-235-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN A SMERKO PMHNP-BC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "SMERKO",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "602-235-9505",
        "authorized_official_credential": "MS., PSY NP., BC."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN071540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Clare Katafiasz, LMSW
• Kodi Kately
• Michael J Kates, D.P.M.
• Richard Edmond Kates, M.S., ATC/L., CSCS.,
• Katherine Vaughn Fielder,PH.D. L.L.C.
• Kathleen M Norman, M.D. (Paradise Valley Women's Care)
• Brij Kathuria, MD
• Kathy Daniels Balzano LLC
• Giraldo Kato, MD
• Lisa Katona, MSW, LCSW

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.