Individual provider Active NPI

Megan A Smick, PH.D.

  • Clinical Neuropsychologist
  • Rockford, IL
National Provider Identifier
1972523421
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Practice address
6973 Redansa Dr
Rockford, IL 61108-1201
Phone
(815) 397-2224
NPI assigned
Jul 20, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X IL Primary
Clinical Psychologist 103TC0700X IL

Addresses

Primary practice location

6973 Redansa Dr
Rockford, IL 61108-1201

Mailing address

4853 Clearsky Dr
Rockford, IL 61109-3147
Phone (815) 397-2224

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071.004980ILMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Neuropsychology & Counseling LLC Clinical Neuropsychologist PastSince Jun 15, 2007 Accepting new patients
Jeff Weishaar, Psy.D., P.C. Clinical PastSince May 11, 2025 Accepting new patients
Behavioral Medicine & Neuropsychological Associates, LLC Clinical Past Accepting new patients
Behavioral Medicine, P.C PastSince Jun 7, 2014 Accepting new patients

Organizations & group practices 4

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1972523421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4853 CLEARSKY DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611093147",
            "telephone_number": "815-397-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6973 REDANSA DR",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081201",
            "telephone_number": "815-397-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMICK",
        "first_name": "MEGAN",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.