NPIMap

Organization Active NPI

Dr Diane E Smith & Assoc Inc

  • Psychiatry Physician
  • Stow, OH
National Provider Identifier
1578784450
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
DR DIANE E SMITH & ASSOC INC
Practice address
3924 Clock Pointe Trail
Ste #104
Stow, OH 44224-2952
Phone
(330) 475-1870
Fax
(330) 475-1872
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Diane Elaine Smith, DONPI 1457555963
Title
Psychiatrist Owner
Phone
(330) 475-1870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X OH Primary

Addresses

Primary practice location

3924 Clock Pointe Trail
Ste #104
Stow, OH 44224-2952

Mailing address

3924 Clock Pointe Trail
Ste #104
Stow, OH 44224-2952
Phone (330) 475-1870

Other identifiers 2

IdentifierTypeStateIssuer
0887401MedicaidOH
0212013MedicaidOH

National Provider Directory

National Provider Directory

Locations

3924 Clock Pointe Trl
Ste 104
Stow, OH 44224
Phone (330) 475-1870

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1578784450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 CLOCK POINTE TRAIL",
            "address_2": "STE #104",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242952",
            "telephone_number": "330-475-1870",
            "fax_number": "330-475-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 CLOCK POINTE TRAIL",
            "address_2": "STE #104",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242952",
            "telephone_number": "330-475-1870",
            "fax_number": "330-475-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DIANE E SMITH & ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PSYCHIATRIST OWNER",
        "authorized_official_telephone_number": "330-475-1870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0887401",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212013",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.