Chad Ryan Smith, M.A.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

15643 Sherman Way
Suite 440
Van Nuys, CA 91406-4135

Phone

(626) 531-6999

Fax

(626) 531-6998

NPI assigned

Jan 31, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1932646775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15643 SHERMAN WAY",
            "address_2": "SUITE 440",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064135",
            "telephone_number": "626-531-6999",
            "fax_number": "626-531-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15643 SHERMAN WAY",
            "address_2": "SUITE 440",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064135",
            "telephone_number": "626-531-6999",
            "fax_number": "626-531-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHAD",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yelena Slyusaranskaya, R.PH.
• SM Glory Hospice, Inc
• Smart Life Home Health, Inc.
• Stacie Smiles
• Adelia Smith
• Crystal Noel Smith
• Dominic R. Smith, PT
• Faith A Smith
• Geoffrey Michael Smith, MD
• Jennifer Lizbeth Smith

• Behavior Technician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.