Active NPI
Joshua Smith, PSY.D.
- Clinical Psychologist
- New Albany, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20042771A
- Practice address
- 2676 Charlestown Rd Ste 3
New Albany, IN 47150-2574 - Phone
- (502) 303-4063
- NPI assigned
- Feb 25, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1758 | KY | |
| Behavior Analyst | 103K00000X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | 20042771A | IN | |
| Clinical Psychologist | 103TC0700X | 20042771A | IN | Primary |
Addresses
Primary practice location
2676 Charlestown Rd Ste 3
New Albany, IN 47150-2574
Mailing address
2676 Charlestown Rd Ste 3
New Albany, IN 47150-2574
Phone (502) 303-4063
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 |
|---|---|---|---|
| 1758 | KY | MD | Psychologist |
| 20042771A | IN | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Joshua Smith, LLC | Behavior Analyst | Current | Accepting new patients |
| Associates in Counseling and Psychtherapy | Past | Accepting new patients |
Locations
2623 Charlestown Rd
New Albany, IN 47150
2676 Charlestown Rd
Ste 3
New Albany, IN 47150
Phone (502) 309-9410
Organizations & group practices 2
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.
-
dba Katelyn's Place Psychology and Autism Services
- Psychologist
- New Albany, IN
- NPI 1740635655
Behavior Analyst
-
- Community/Behavioral Health Agency
- New Albany, IN
- NPI 1114330271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1669897872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2676 CHARLESTOWN RD STE 3",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471502574",
"telephone_number": "502-303-4063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2676 CHARLESTOWN RD STE 3",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471502574",
"telephone_number": "502-303-4063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-25",
"last_updated": "2022-05-23",
"certification_date": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "1758",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "IN",
"license": "20042771A",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20042771A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.