Scott M Smickley, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS-005696-L Issued in PA

Practice address

79 S Courtland St
East Stroudsburg, PA 18301-2865

Phone

(570) 476-6301

Fax

(570) 421-7077

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699833517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 S COURTLAND ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012865",
            "telephone_number": "570-476-6301",
            "fax_number": "570-421-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 S COURTLAND ST",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183012865",
            "telephone_number": "570-476-6301",
            "fax_number": "570-421-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMICKLEY",
        "first_name": "SCOTT",
        "middle_name": "M",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-005696-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajwinder Singh, MD
• Michael Sirkin, M.D.
• Jessica Skirlis, CRNP, PMHNP-BC
• Sky Mobile Digital Imaging LLC
• Sleep Center of Monroe County
• Falisha Smith-Coachman, MSW, LSW
• Pamela Mercedes Smith-Dixon
• Bryan Smith, CADC
• Chester L Smith Jr., MD
• Colin Ley Smith, NP

• Psychologist in East Stroudsburg, PA
• Providers in East Stroudsburg, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.