Active NPI
Michael F. Smyth, PHD
- Psychologist
- Auburn, ME
National Provider Identifier
1750443651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS446
- Practice address
- 800 Center St
Auburn, ME 04210-6404 - Phone
- (207) 782-2726
- NPI assigned
- Dec 15, 2006
- Last updated
- Oct 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS446 | ME | Primary |
Addresses
Primary practice location
800 Center St
Auburn, ME 04210-6404
Mailing address
PO Box 572
Gorham, ME 04038-0572
Phone (207) 839-4535
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1750443651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 572",
"city": "GORHAM",
"state": "ME",
"postal_code": "040380572",
"telephone_number": "207-839-4535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CENTER ST",
"city": "AUBURN",
"state": "ME",
"postal_code": "042106404",
"telephone_number": "207-782-2726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMYTH",
"first_name": "MICHAEL",
"middle_name": "F.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-15",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ME",
"license": "PS446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.