Melissa K Smothers, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

3039-57 Issued in WI

Practice address

10425 W North Ave
Ste 239
Wauwatosa, WI 53226-2416

Phone

(262) 785-9188

NPI assigned

Jan 23, 2013

Last updated

Feb 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Milwaukee Psychotherapy Collaborative

  • Clinical Psychologist
  • Milwaukee, WI
  • NPI 1760992788

  Counseling

  NPD

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1679811848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 W NORTH AVE",
            "address_2": "STE 239",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262416",
            "telephone_number": "262-785-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 W NORTH AVE",
            "address_2": "STE 239",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262416",
            "telephone_number": "262-785-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOTHERS",
        "first_name": "MELISSA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-23",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WI",
            "license": "3039-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Edna Smetana, PTA
• Charlotte Ann Smith, RPH
• Edward B Smith, M.D.
• Scott Smith, RN
• David Brian Smothers, PSY.D., L.P.
• Rosemary T Smyczek, MSW
• Linda Snyder
• Lisa M Soboleski, PA
• Yevheniya Sokolova, PHARMD
• Matthew A Solberg, MD

• Counseling Psychologist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Counseling Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.