Sean Smitham, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY00003757 Issued in WA

Practice address

3124 S Regal St
Spokane, WA 99223-4704

Phone

(509) 464-6208

Fax

(888) 316-1928

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Rare Wellness

  • Integrative Medicine Physician
  • Spokane, WA
  • NPI 1164148748
  NPD
• Northwest Medical Specialty Evaluations PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Spokane, WA
  • NPI 1811266745

  Clinical

  NPD (past)
• Selkirk Interventional Pain Physicians PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Spokane, WA
  • NPI 1780965186
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1861546129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992100112",
            "telephone_number": "509-464-6208",
            "fax_number": "888-316-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 S REGAL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234704",
            "telephone_number": "509-464-6208",
            "fax_number": "888-316-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHAM",
        "first_name": "SEAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00003757",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY00003757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061707",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Lee Smith
• Thomas Smith
• Tyler J Smith, PTA
• Wendy Kay Smith, ARNP
• Yalonda Smith, SUDP
• Katelyn Smithgall, LMT
• Elise Smithmier, LCPC, LPC, LMHC
• Reggie Smithson
• Kendall Smitley, ATC
• Courtney Smits, AUD

• Clinical Psychologist in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.