Theresa M Smith, M.S ED

Primary specialty

SpecialistTaxonomy code 174400000X

License

1138706 Issued in NY

Practice address

160 N Main Ave
Albany, NY 12206-1821

Phone

(518) 437-6735

Fax

(518) 437-6532

NPI assigned

Mar 12, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• St. Anne Institute

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Albany, NY
  • NPI 1629243407
  NPD (past)

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1962743211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N MAIN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061821",
            "telephone_number": "518-437-6735",
            "fax_number": "518-437-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N MAIN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061821",
            "telephone_number": "518-437-6735",
            "fax_number": "518-437-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THERESA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.S ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1138706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS TEACHER CERTIFICATION",
            "identifier": "1138706",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally Aida Smith, FNP
• Schyler Katherine Smith, PA-C
• Stency Smith
• Steven P Smith, M.D.
• Suzanne Smith
• Thomas Clinton Smith, M.D.
• Thomas David Smith I, LMHC
• Vivienne E Smith, MD
• William J Smith, MSPT
• William James Smith, MD

• Specialist in Albany, NY
• Providers in Albany, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.