Organization Active NPI

Psychology Wellness Practice, PLLC.

  • Mental Health Counselor
  • Latham, NY
National Provider Identifier
1922585363
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PSYCHOLOGY WELLNESS PRACTICE, PLLC.
Practice address
950 New Loudon Rd Ste 101
Latham, NY 12110-2100
Phone
(518) 573-7024
NPI assigned
Jul 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Dr. Jennifer Smitkin, PSY.DNPI 1902042724
Title
Owner/Licensed Psychologist
Phone
(518) 573-7024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

950 New Loudon Rd Ste 101
Latham, NY 12110-2100

Mailing address

950 New Loudon Rd Ste 101
Latham, NY 12110-2100
Phone (518) 573-7024

National Provider Directory

National Provider Directory

Locations

950 New Loudon Rd
Ste 101
Latham, NY 12110
Phone (518) 573-7024

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1922585363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 NEW LOUDON RD STE 101",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102100",
            "telephone_number": "518-573-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 NEW LOUDON RD STE 101",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102100",
            "telephone_number": "518-573-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY WELLNESS PRACTICE, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "SMITKIN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "518-573-7024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.