Individual provider Active NPI

Leeann Rae Smith, MA, TLLP

  • Clinical Psychologist
  • Farmington Hills, MI
National Provider Identifier
1649151549
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6362010185 Issued in MI
Practice address
30200 W 9 Mile Rd Apt 210
Farmington Hills, MI 48336-4877
Phone
(734) 386-0176
NPI assigned
Sep 9, 2025
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6362010185 MI Primary

Addresses

Primary practice location

30200 W 9 Mile Rd Apt 210
Farmington Hills, MI 48336-4877

Mailing address

30200 W 9 Mile Rd Apt 210
Farmington Hills, MI 48336-4877

Other practice location 1

31395 7 Mile Rd Ste D
Livonia, MI 48152-4335
Phone (734) 450-0637

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6362010185MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sollars and Associates Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1649151549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 W 9 MILE RD APT 210",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483364877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 W 9 MILE RD APT 210",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483364877",
            "telephone_number": "734-386-0176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31395 7 Mile Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481524335",
            "country_code": "US",
            "telephone_number": "734-450-0637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LEEANN",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "MA, TLLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6362010185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.