Active NPI
Lynette Corie Smith, PSY.D.
- Psychologist
- Junction City, OR
National Provider Identifier
1568901171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2798
- Practice address
- 29398 Recovery Way
Junction City, OR 97448-8442 - Phone
- (541) 465-2776
- NPI assigned
- Feb 15, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2798 | OR | Primary |
| Clinical Psychologist | 103TC0700X | 071008723 | IL |
Addresses
Primary practice location
29398 Recovery Way
Junction City, OR 97448-8442
Mailing address
29398 Recovery Way
Junction City, OR 97448-8442
Phone (541) 465-2776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071008723 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1568901171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29398 RECOVERY WAY",
"city": "JUNCTION CITY",
"state": "OR",
"postal_code": "974488442",
"telephone_number": "541-465-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29398 RECOVERY WAY",
"city": "JUNCTION CITY",
"state": "OR",
"postal_code": "974488442",
"telephone_number": "541-465-2776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "LYNETTE",
"middle_name": "CORIE",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-15",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "2798",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071008723",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Junction City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.