Erin Smith, PH.D., LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301015898 Issued in MI

Practice address

720 W Wackerly St
Suite 4
Midland, MI 48640-2769

Phone

(989) 832-2165

Fax

(989) 839-4376

NPI assigned

Apr 14, 2011

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

Enrolled in MI

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

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hyacinth Clinical Services and Consulting PLLCGroup PAC ID 7416339080, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Hyacinth Clinical Services and Consulting PLLC

  • Clinic/Center
  • Mount Pleasant, MI
  • NPI 1437898707

  Clinical

  Medicare reassignment Care Compare group NPD Authorized official
• Partners in Change: Psychological & Community Services, PLC

  • Psychologist
  • Midland, MI
  • NPI 1093984817
  Medicare reassignment NPD

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1831489541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W WACKERLY ST",
            "address_2": "STE 11",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402769",
            "telephone_number": "989-832-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W WACKERLY ST",
            "address_2": "SUITE 4",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486402769",
            "telephone_number": "989-832-2165",
            "fax_number": "989-839-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ERIN",
        "credential": "PH.D., LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "2019302",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison C Smith, PA
• Autum Penn Smith, RN
• Brittany Mae Smith
• Brooke Smith, M.S., CCC-SLP
• Carol Smith
• Felix Smith, PH.D., LICENSED PSYC
• Kaitlan Smith, CF
• Kara Smith, FNP-C
• Kaylee Smith, PTA
• Kelli Smith, LLPC

• Clinical Psychologist in Midland, MI
• Providers in Midland, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.