Individual provider Active NPI

Joshua Smith, PSY.D.

  • Clinical Psychologist
  • New Albany, IN
National Provider Identifier
1669897872
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20042771A Issued in IN
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

Updated by the provider on May 23, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1758KYMDPsychologist
20042771AINMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Joshua Smith, LLC Behavior Analyst CurrentSince Aug 28, 2022 Accepting new patients
Associates in Counseling and Psychtherapy PastSince Aug 1, 2014 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.

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.

Verify at the official NPI Registry.