Individual provider Active NPI

Brian S Smithley, M.ED.

  • Psychologist
  • Sewickley, PA
National Provider Identifier
1861541559
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-007796-L Issued in PA
Practice address
111 Hazel Lane
Suite 300
Sewickley, PA 15143
Phone
(412) 749-7466
Fax
(412) 749-7339
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS-007796-L PA Primary

Addresses

Primary practice location

111 Hazel Lane
Suite 300
Sewickley, PA 15143

Mailing address

111 Hazel LN
Suite 300
Sewickley, PA 15143-1253
Phone (412) 749-7466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
PS-007796-LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1861541559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HAZEL LN",
            "address_2": "SUITE 300",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431253",
            "telephone_number": "412-749-7466",
            "fax_number": "412-749-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HAZEL LANE",
            "address_2": "SUITE 300",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "15143",
            "telephone_number": "412-749-7466",
            "fax_number": "412-749-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHLEY",
        "first_name": "BRIAN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-007796-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.