Individual provider Active NPI

Christopher Hoover Smith, PHD

  • Clinical Psychologist
National Provider Identifier
1922377233
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2301 Issued in OR
Practice address
48TH MDG, Opc 41 Box 15
Apo, AE 09461
Phone
(314) 226-8603
NPI assigned
Dec 16, 2011
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2301 OR Primary

Addresses

Primary practice location

48TH MDG, Opc 41 Box 15
Apo, AE 09461

Mailing address

PSC 41 Box 9154
Apo, AE 09464-0092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130923000098 OR Practitioner - Clinical Psychologist 0648412072 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019902NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albany General Hospital Current Accepting new patients
Albany General Hospital CurrentSince Aug 1, 2013 Accepting new patients
Samaritan North Lincoln Hospital Current Accepting new patients
Albany General Hospital CurrentSince Aug 1, 2013 Accepting new patients
Conifer Wellness, Inc. Clinical CurrentSince Oct 1, 2019 Accepting new patients

Locations

1700 Geary St SE
Albany, OR 97322
Phone (541) 812-5500

1700 Geary St SE
Ste 400
Albany, OR 97322
Phone (541) 812-5500

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

139 SW 3rd St
Corvallis, OR 97333
Phone (248) 303-3751

3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661

Organizations & group practices 5

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": "1323993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1922377233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 41 BOX 9154",
            "city": "APO",
            "state": "AE",
            "postal_code": "094640092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "48TH MDG, OPC 41 BOX 15",
            "city": "APO",
            "state": "AE",
            "postal_code": "09461",
            "telephone_number": "314-226-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "middle_name": "HOOVER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-16",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.