Kimberly Smiley, Psy.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY002828 Issued in GA

Legal business name

KIMBERLY SMILEY, PSY.D., LLC

Doing business as

Kimberly Smiley, Psy.D.

Practice address

1827 Powers Ferry Road, Building 22
Atlanta, GA 30339

Phone

(770) 953-4744

Fax

(770) 953-4640

NPI assigned

Oct 1, 2014

Organization subpart

No

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

Authorized official

Name

Kimberly Smiley, PSY.D.NPI 1033203476

Title

Psychologist/Owner

Phone

(770) 953-4744

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kimberly Smiley, Psy.D. Doing business as

Practitioners 1

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

• Kimberly Smiley, PSY.D.

  • Clinical Psychologist
  • Atlanta, GA
  • NPI 1033203476
  NPD (past) Authorized official

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1568865830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 POWERS FERRY ROAD, BUILDING 22",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339",
            "telephone_number": "770-953-4744",
            "fax_number": "770-953-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 POWERS FERRY ROAD, BUILDING 22",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30339",
            "telephone_number": "770-953-4744",
            "fax_number": "770-953-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY SMILEY, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "SMILEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "770-953-4744",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY002828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501804875A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberly Smiley, Psy.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yolanda Muthoni Kimani, NP
• Emma Grace Kimball, LCSW
• John W Kimbell, PAAA
• Lauren Lydia Kimbell, D.C.
• Kimberley E. Wilson, LLC
• Kimberly the Dietitian, LLC
• Aaron James Kimble, PHD
• Shannon Kimbrel
• Chanelle Kimbrough
• Diana Kimbrough, PMHNP

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.