Individual provider Active NPI

Bridget F Smith, PHD

  • Psychologist
  • Auburn, AL
National Provider Identifier
1801992912
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
606 Issued in AL
Practice address
1915 Professional Cir
Auburn, AL 36830-2852
Phone
(334) 826-1699
Fax
(334) 826-1629
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 606 AL Primary

Addresses

Primary practice location

1915 Professional Cir
Auburn, AL 36830-2852

Mailing address

1915 Professional Cir
Auburn, AL 36830-2852
Phone (334) 826-1699

Other identifiers 4

IdentifierTypeStateIssuer
GROUP MEDICAID #MedicaidAL
MAGELLANOtherALMAGELLAN INSURANCE
BCBSOtherAL51504454
INDIVIDUAL PROVIDERMedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230609000240 AL Practitioner - Clinical Psychologist 6800253659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3320 Skyway Dr
Suite 802
Opelika, AL 36801-7141
Phone (334) 742-9102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
606ALMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Assessment Center, LLC CurrentSince May 1, 2024 Accepting new patients
East Alabama Podiatry, PC PastSince May 1, 2024 Accepting new patients

Locations

3320 Skyway Dr
Ste 802
Opelika, AL 36801
Phone (334) 742-9102

Organizations & group practices 2

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801992912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 PROFESSIONAL CIR",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302852",
            "telephone_number": "334-826-1699",
            "fax_number": "334-826-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 PROFESSIONAL CIR",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302852",
            "telephone_number": "334-826-1699",
            "fax_number": "334-826-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIDGET",
        "middle_name": "F",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GROUP MEDICAID #",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN INSURANCE",
            "identifier": "MAGELLAN",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "51504454",
            "identifier": "BCBS",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "INDIVIDUAL PROVIDER",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

Verify at the official NPI Registry.