Active NPI
Anton C Smets, PHD PSYD
- Clinical Child & Adolescent Psychologist
- Eau Claire, WI
National Provider Identifier
1861458093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 845057
- Practice address
- 101 N Farwell St Ste 204
Eau Claire, WI 54703-3767 - Phone
- (715) 514-4600
- Fax
- (715) 514-4008
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 845057 | WI | Primary |
Addresses
Primary practice location
101 N Farwell St Ste 204
Eau Claire, WI 54703-3767
Mailing address
101 N Farwell St Ste 204
Eau Claire, WI 54703-3767
Phone (715) 514-4600
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23941 | Other | WI | SECURITY HEALTH PLAN |
| 6103256 | Other | MN | MEDICA UBH UHC |
| 8H005SM | Other | MN | BCBS MN |
| HP18916 | Other | MN | HEALTH PARTNERS |
| 39019900 | Medicaid | WI | |
| 637871026351 | Other | MN | PREFERRED ONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 845057 | WI | MD | Clinical Child & Adolescent Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395619200000",
"number": "1861458093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N FARWELL ST STE 204",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547033767",
"telephone_number": "715-514-4600",
"fax_number": "715-514-4008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N FARWELL ST STE 204",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547033767",
"telephone_number": "715-514-4600",
"fax_number": "715-514-4008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMETS",
"first_name": "ANTON",
"middle_name": "C",
"credential": "PHD PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2014-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "WI",
"license": "845057",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURITY HEALTH PLAN",
"identifier": "23941",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA UBH UHC",
"identifier": "6103256",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "8H005SM",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP18916",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39019900",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "637871026351",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.