Paul David Smetko, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00003495 Issued in WA

Practice address

10604 NE 38TH PL
Suite 132
Kirkland, WA 98033-7933

Phone

(425) 739-0101

NPI assigned

Sep 20, 2006

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

Medicare fee-for-service enrollment

Enrolled in WA, VA2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Northwestern University Feinberg Medical School, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315353600000",
    "number": "1568560282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10604 NE 38TH PL",
            "address_2": "SUITE 132",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337933",
            "telephone_number": "425-739-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10604 NE 38TH PL",
            "address_2": "SUITE 132",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337933",
            "telephone_number": "425-739-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMETKO",
        "first_name": "PAUL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00003495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Robin Sloane, MD
• Angela Farrar Small
• Jocelyn Small
• Tamara Smallman, MS, LAT, ATC
• Sara Smart
• Adam Smiley
• Abigail Lauren Smith, DPT
• Andrew Smith
• Annelies Terese Smith, PT
• Barbara Smith

• Clinical Psychologist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.