Individual provider Active NPI

Ashley M Smith, M.S., PSYD

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1750870218
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
39862 Issued in TX
Practice address
4349 Martin Luther King Blvd
Health 2 Building, Suite 1001E
Houston, TX 77204
Phone
(713) 743-9862
Fax
(713) 743-1049
NPI assigned
May 9, 2018
Last updated
May 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 39862 TX Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

4349 Martin Luther King Blvd
Health 2 Building, Suite 1001E
Houston, TX 77204

Mailing address

4349 Martin Luther King Blvd
Health 2 Building, Suite 1001E
Houston, TX 77204
Phone (713) 743-9862

Other practice location 1

1215 Lee St # 800223
Charlottesville, VA 22908-1603
Phone (434) 924-5314

Other practice location 2

6122 Ridge Ave
Philadelphia, PA 19128-1603
Phone (215) 487-1330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230605003318 TX Practitioner - Clinical Psychologist 9133586225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uh HealthGroup PAC ID 5496137499, 15 clinicians

Practice addresses (Care Compare)

4349 Martin Luther King Blvd
1001 Health 2 BLDG
Houston, TX 77204-3019
Phone (713) 743-9682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
39862TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Uh Health Clinical CurrentSince May 22, 2023 Accepting new patients

Locations

4349 Martin Luther King Blvd
#2
Houston, TX 77204
Phone (713) 743-9682

4349 Martin Luther King Blvd
Ste 1001
Houston, TX 77204
Phone (713) 743-9682

4349 Martin Luther King Blvd
Ste 1001E
Houston, TX 77204
Phone (713) 743-9682

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26199/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684800000000",
    "number": "1750870218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4349 MARTIN LUTHER KING BLVD",
            "address_2": "HEALTH 2 BUILDING, SUITE 1001E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77204",
            "telephone_number": "713-743-9862",
            "fax_number": "713-743-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4349 MARTIN LUTHER KING BLVD",
            "address_2": "HEALTH 2 BUILDING, SUITE 1001E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77204",
            "telephone_number": "713-743-9862",
            "fax_number": "713-743-1049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Lee St # 800223",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229081603",
            "country_code": "US",
            "telephone_number": "434-924-5314",
            "fax_number": "434-243-4743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6122 Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191281603",
            "country_code": "US",
            "telephone_number": "215-487-1330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ASHLEY",
        "middle_name": "M",
        "credential": "M.S.,  PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "39862",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.