Individual provider Active NPI

Kathryn Francis Smeraglia

  • Psychologist
  • New Albany, IN
National Provider Identifier
1669010468
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
99096479A Issued in IN
Practice address
3103 Blackiston Mill Rd
New Albany, IN 47150-9536
Phone
(812) 590-7160
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 99096479A IN Primary

Addresses

Primary practice location

3103 Blackiston Mill Rd
New Albany, IN 47150-9536

Mailing address

642 Baxter Ave Apt 306
Louisville, KY 40204-1991
Phone (205) 266-1348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240208000514 IN Practitioner - Clinical Psychologist 3173966009 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99096479AINMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Auxilium Psychological Services, LLC Psychologist CurrentSince Jan 1, 2024 Accepting new patients

Locations

3103 Blackiston Mill Rd
New Albany, IN 47150
Phone (812) 590-7160

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1669010468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 BAXTER AVE APT 306",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041991",
            "telephone_number": "205-266-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 BLACKISTON MILL RD",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471509536",
            "telephone_number": "812-590-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMERAGLIA",
        "first_name": "KATHRYN",
        "middle_name": "FRANCIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "99096479A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

Verify at the official NPI Registry.