Individual provider Active NPI

Barbara Jones Smith, PHD

  • Psychologist
  • Traverse City, MI
National Provider Identifier
1740344456
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301007417 Issued in MI
Practice address
921 W 11TH St # 1W
Traverse City, MI 49684-3002
Phone
(231) 947-1444
Fax
(231) 947-2444
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X 6301007417 MI
Cognitive & Behavioral Psychologist 103TB0200X 6301007417 MI
Clinical Psychologist 103TC0700X 6301007417 MI
Clinical Child & Adolescent Psychologist 103TC2200X 6301007417 MI
Exercise & Sports Psychologist 103TE1100X 6301007417 MI
Family Psychologist 103TF0000X 6301007417 MI
Forensic Psychologist 103TF0200X 6301007417 MI
Intellectual & Developmental Disabilities Psychologist 103TM1800X 6301007417 MI
Psychologist 103T00000X 6301007417 MI Primary

Addresses

Primary practice location

921 W 11TH St # 1W
Traverse City, MI 49684-3002

Mailing address

921 W 11TH St # 1W
Traverse City, MI 49684-3002
Phone (231) 947-1444

Other identifiers 1

IdentifierTypeStateIssuer
0B84653OtherMIBLUE CROSS BLUE SHIELD

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301007417MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Thomas, Llmsw Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1740344456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W 11TH ST # 1W",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843002",
            "telephone_number": "231-947-1444",
            "fax_number": "231-947-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W 11TH ST # 1W",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843002",
            "telephone_number": "231-947-1444",
            "fax_number": "231-947-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES SMITH",
        "first_name": "BARBARA",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "MI",
            "license": "6301007417",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301007417",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301007417",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6301007417",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "MI",
            "license": "6301007417",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MI",
            "license": "6301007417",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "MI",
            "license": "6301007417",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "MI",
            "license": "6301007417",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301007417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0B84653",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.