Active NPI
Amy H Smith
- Clinical Psychologist
- Lyons, NY
National Provider Identifier
1871878751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P81425
- Practice address
- 1519 Nye Raod
Lyons, NY 14489 - Phone
- (315) 946-5722
- Fax
- (315) 946-7079
- NPI assigned
- Oct 11, 2011
- 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 Psychologist | 103TC0700X | P81425 | NY | Primary |
Addresses
Primary practice location
1519 Nye Raod
Lyons, NY 14489
Mailing address
1519 Nye Raod
Lyons, NY 14489
Phone (315) 946-5722
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P81425 | NY | MD | Clinical Psychologist |
| 020420 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1871878751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 NYE RAOD",
"city": "LYONS",
"state": "NY",
"postal_code": "14489",
"telephone_number": "315-946-5722",
"fax_number": "315-946-7079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 NYE RAOD",
"city": "LYONS",
"state": "NY",
"postal_code": "14489",
"telephone_number": "315-946-5722",
"fax_number": "315-946-7079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "AMY",
"middle_name": "H",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-11",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "P81425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lyons, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.