Individual provider Active NPI

Valerie Gottfried-Smith

  • School Psychologist
  • North Canton, OH
National Provider Identifier
1932939634
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SP00729 Issued in OH
Practice address
1201 S Main St Ste 100
North Canton, OH 44720-4283
Phone
(330) 244-8782
Fax
(330) 244-8795
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SP00729 OH Primary

Addresses

Primary practice location

1201 S Main St Ste 100
North Canton, OH 44720-4283

Mailing address

7578 Brookgate Way
Northfield, OH 44067-3088
Phone (330) 348-9078

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SP00729OHMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Psychological & Counseling Centre LLC PastSince May 1, 2008 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1932939634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7578 BROOKGATE WAY",
            "city": "NORTHFIELD",
            "state": "OH",
            "postal_code": "440673088",
            "telephone_number": "330-348-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S MAIN ST STE 100",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447204283",
            "telephone_number": "330-244-8782",
            "fax_number": "330-244-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTFRIED-SMITH",
        "first_name": "VALERIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "SP00729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.