Daniel V Smith, PSY.D.

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

1913 Issued in OR

Practice address

2600 Center Street NE (Office Go5-216)
Oregon State Hospital, Forensic Evaluation Service
Salem, OR 97301-2669

Phone

(503) 945-9281

Fax

(503) 945-9747

NPI assigned

Oct 15, 2012

Last updated

Oct 15, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1689926677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 CENTER STREET NE (OFFICE GO5-216)",
            "address_2": "OREGON STATE HOSPITAL, FORENSIC EVALUATION SERVICE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012669",
            "telephone_number": "503-945-9281",
            "fax_number": "503-945-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 CENTER STREET NE (OFFICE GO5-216)",
            "address_2": "OREGON STATE HOSPITAL, FORENSIC EVALUATION SERVICE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012669",
            "telephone_number": "503-945-9281",
            "fax_number": "503-945-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANIEL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1913",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "OR",
            "license": "1913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brook Smith
• Brooke Michele Smith
• Corina Smith, PHARMD
• Cory M Smith, DMD
• Daniel Karl Smith
• Denise E Smith, LCSW
• Elaine Clare Smith, R.N.
• Emily Kathleen Smith, LMT
• Grant M Smith, DDS
• Hallie Kay Smith, RDH

• Forensic Psychologist in Salem, OR
• Providers in Salem, OR by specialty
• Forensic Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.