Douglas C Smith, PSYCHIATRIST

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

3422 Issued in AK

Practice address

415 6TH Street
Suite G16
Juneau, AK 99801

Phone

(907) 789-2855

Fax

(907) 789-2862

NPI assigned

May 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Preventive Medicine

Education

Indiana University School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sitka Counseling and Prevention Services IncGroup PAC ID 9830185925, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Sitka Counseling & Prevention Services, Inc.

  • Counselor
  • Sitka, AK
  • NPI 1285764001
  Medicare reassignment Care Compare group
• Sitka Counseling & Prevention Services, Inc.

  • Community/Behavioral Health Agency
  • Sitka, AK
  • NPI 1497381883
  NPD
• Neurobehavioral Consultants LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sitka, AK
  • NPI 1659306173
  NPD (past)
• Vo of Arizona, Inc.

  • Clinical Medical Laboratory
  • Glendale, AZ
  • NPI 1447458682
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1972561447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 6TH ST",
            "address_2": "SUITE G16",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011020",
            "telephone_number": "907-789-2855",
            "fax_number": "907-789-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 6TH STREET",
            "address_2": "SUITE G16",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-789-2855",
            "fax_number": "907-789-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOUGLAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSYCHIATRIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "3422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD34221",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Veale Skolnik, PT
• Lady Slagle
• Sleep Sound Southeast, LLC
• Kimberly McCullough Smash, M.D.
• Smith Counseling and Supervision, LLC
• Graham J Smith
• Gregory Smith, LMT
• Jason B Smith, MSW
• Kim C Smith, M.D.
• Michael Craig Smith, M.ED., LPC, CDCS

• Psychiatry Physician in Juneau, AK
• Providers in Juneau, AK by specialty
• Psychiatry Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.