Individual provider Active NPI

Catherine Marie Smithmyer, PH.D.

  • Clinical Psychologist
  • Stevensville, MD
National Provider Identifier
1922164177
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
03850 Issued in MD
Practice address
155 Log Canoe Cir
Stevensville, MD 21666
Phone
(410) 604-0226
Fax
(877) 643-0126
NPI assigned
Dec 29, 2006
Last updated
Oct 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 03850 MD
Clinical Psychologist 103TC0700X 03850 MD Primary
Clinical Child & Adolescent Psychologist 103TC2200X 03850 MD
Family Psychologist 103TF0000X 03850 MD

Addresses

Primary practice location

155 Log Canoe Cir
Stevensville, MD 21666

Mailing address

155 Log Canoe Cir
Stevensville, MD 21666-2127
Phone (410) 604-0226

Other practice location 1

100 Helfen Bein Ln
Suite 230 D
Chester, MD 21619-2653
Phone (410) 604-0226

Other identifiers 1

IdentifierTypeStateIssuer
495438OtherMDVALUE OPTIONS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20110614000209 MD Practitioner - Clinical Psychologist 5890972137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesapeake Bay Psychological Services LLCGroup PAC ID 3274710512, 10 clinicians

Practice addresses (Care Compare)

155 Log Canoe Cir
Stevensville, MD 21666-2127
Phone (410) 604-0226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
03850MDMDFamily Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Bay Psychological Services LLC Psychologist CurrentSince Jan 14, 2011 Accepting new patients
Paula Klepper LCSW-C LLC Past Accepting new patients

Locations

100 Helfen Bein Ln
Ste 230D
Chester, MD 21619
Phone (410) 604-0226

155 Log Canoe Cir
Stevensville, MD 21666
Phone (410) 604-0226

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1922164177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 LOG CANOE CIR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "216662127",
            "telephone_number": "410-604-0226",
            "fax_number": "877-643-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 LOG CANOE CIR",
            "city": "STEVENSVILLE",
            "state": "MD",
            "postal_code": "21666",
            "telephone_number": "410-604-0226",
            "fax_number": "877-643-0126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Helfen Bein Ln",
            "address_2": "Suite 230 D",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "MD",
            "postal_code": "216192653",
            "country_code": "US",
            "telephone_number": "410-604-0226",
            "fax_number": "877-643-0126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITHMYER",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "03850",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "03850",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "03850",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MD",
            "license": "03850",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "495438",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MD

Sources for this page

Verify at the official NPI Registry.