Active NPI
Anne-Lise Smith, PH.D.
- Clinical Psychologist
- Northampton, MA
National Provider Identifier
1821345364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 11786
- Practice address
- 25 Main Street
Suite 217
Northampton, MA 01060-3172 - Phone
- (434) 422-6114
- NPI assigned
- Aug 14, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3544 | CT | |
| Clinical Psychologist | 103TC0700X | 0810005762 | VA | |
| Clinical Psychologist | 103TC0700X | 11786 | MA | Primary |
Addresses
Primary practice location
25 Main Street
Suite 217
Northampton, MA 01060-3172
Mailing address
PO Box 222
Northampton, MA 01061-0222
Phone (413) 727-6488
Other practice location 1
1066 Storrs Rd Ste E
Storrs Mansfield, CT 06268-2648
Phone (860) 377-9818
Other practice location 2
421 Park St Ste B
Charlottesville, VA 22902-4749
Phone (434) 422-6114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Aug 18, 2023 through Aug 18, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3544 | CT | MD | Psychologist |
| 11786 | MA | MD | Clinical Psychologist |
| 0810005762 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752364800000",
"number": "1821345364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 222",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010610222",
"telephone_number": "413-727-6488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MAIN STREET",
"address_2": "SUITE 217",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603172",
"telephone_number": "434-422-6114"
}
],
"practiceLocations": [
{
"address_1": "1066 Storrs Rd Ste E",
"address_purpose": "LOCATION",
"city": "Storrs Mansfield",
"state": "CT",
"postal_code": "062682648",
"country_code": "US",
"telephone_number": "860-377-9818",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "421 Park St Ste B",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229024749",
"country_code": "US",
"telephone_number": "434-422-6114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "ANNE-LISE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-14",
"last_updated": "2025-07-13",
"certification_date": "2025-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "3544",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005762",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "11786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.