Ivy Smyth, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

137015 Issued in CA

Practice address

1000 Virginia St
Berkeley, CA 94710-1833

Phone

(510) 295-8596

NPI assigned

Jun 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1770143117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 VIRGINIA ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101833",
            "telephone_number": "510-295-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 VIRGINIA ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947101833",
            "telephone_number": "510-295-8596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11175 San Pablo Ave",
            "address_purpose": "LOCATION",
            "city": "El Cerrito",
            "state": "CA",
            "postal_code": "945302157",
            "country_code": "US",
            "telephone_number": "510-559-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMYTH",
        "first_name": "IVY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "137015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Elizabeth Smith, AMFT
• Tracy Patricia Smith, PSY.D.
• Thomas Smithers
• Natasha Smolkin
• Olga P. Smutko, D.D.S.
• Sean Snapp, CCC-SLP
• Jane Elizabeth Snow, M.D
• Susanne Snowden, LCSW
• Aowyn Soane, BCBA
• Farhana Sobhan, LMFT

• Marriage & Family Therapist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.