Michael William Smith, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G66609 Issued in CA

Practice address

2291 W March LN
Suite D-200
Stockton, CA 95207-6652

Phone

(209) 478-1536

Fax

(209) 951-4335

NPI assigned

Sep 27, 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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

R Franklin University of Med & Sci/Chicago Medical School, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A R Jayaram MD a Professional Corp

  • Neurology Physician
  • Livermore, CA
  • NPI 1760431571
  NPD (past)
• Mindscape

  • Psychiatry Physician
  • Stockton, CA
  • NPI 1184368797
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720179385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2291 W MARCH LN",
            "address_2": "SUITE D-200",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076652",
            "telephone_number": "209-478-1536",
            "fax_number": "209-951-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2291 W MARCH LN",
            "address_2": "SUITE D-200",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076652",
            "telephone_number": "209-478-1536",
            "fax_number": "209-951-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G66609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Dupree Smith
• Joseph Eugene Smith III
• Kaitlend Tatiana Smith, B.A.
• Kimberly Tersilla Smith, AUD
• Mark Angelo Smith
• Morgan Tyrone Smith
• Nick E Smith, D.D.S.
• Oceana Smith
• Olivia Smith
• Pamela R Smith, RN

• Psychiatry Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Psychiatry Physician in California

• 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.
• 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.