Organization Active NPI

Claire Smith Roney, PH.D., Inc., PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Townsend, WA
National Provider Identifier
1801910153
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
PY0001864 Issued in WA
Legal business name
CLAIRE SMITH RONEY, PH.D., INC., PC
Practice address
905 Hidden Trail Rd
Port Townsend, WA 98368-9602
Phone
(360) 379-6259
Fax
(360) 385-3058
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Claire Smith Roney, PH.D.NPI 1487866968
Title
President
Phone
(360) 379-6259

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X PY0001864 WA Primary

Addresses

Primary practice location

905 Hidden Trail Rd
Port Townsend, WA 98368-9602

Mailing address

PO Box 1611
Port Townsend, WA 98368-0110
Phone (360) 379-6259

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040511001241 WA Part B Supplier - Clinic/Group Practice 1153310362 Receives reassigned benefits from 1 practitioner
Practice locations: Port Townsend, WA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801910153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1611",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983680110",
            "telephone_number": "360-379-6259",
            "fax_number": "360-385-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 HIDDEN TRAIL RD",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983689602",
            "telephone_number": "360-379-6259",
            "fax_number": "360-385-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAIRE SMITH RONEY, PH.D., INC., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RONEY",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-379-6259",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "PY0001864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.