Individual provider Active NPI

Julie Smithee, PHD

  • Clinical Psychologist
  • Caledonia, MI
National Provider Identifier
1659449007
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301009712 Issued in MI
Practice address
7150 Kalamazoo Ave SE Ste C
Caledonia, MI 49316-9197
Phone
(616) 550-2111
NPI assigned
Dec 2, 2006
Last updated
Jun 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301009712 MI Primary
Clinical Child & Adolescent Psychologist 103TC2200X NU

Addresses

Primary practice location

7150 Kalamazoo Ave SE Ste C
Caledonia, MI 49316-9197

Mailing address

2868 Court Dr SE
Lowell, MI 49331-9066
Phone (616) 550-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131109000495 MI Practitioner - Clinical Psychologist 3577798057 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Meliora Psychological Services, PLLC Clinical CurrentSince Jun 23, 2025 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Mar 27, 2014 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Mar 27, 2014 Accepting new patients

Locations

7150 Kalamazoo Ave SE
Ste C
Caledonia, MI 49316
Phone (616) 219-0159

1870 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 956-1122

300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000

Organizations & group practices 3

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": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1659449007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 COURT DR SE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319066",
            "telephone_number": "616-550-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 KALAMAZOO AVE SE STE C",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493169197",
            "telephone_number": "616-550-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHEE",
        "first_name": "JULIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009712",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caledonia, MI

Sources for this page

Verify at the official NPI Registry.