Organization Active NPI

Barbara Jones Smith PHD PC

  • Psychologist
  • Traverse City, MI
National Provider Identifier
1972706190
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301007417 Issued in MI
Legal business name
BARBARA JONES SMITH PHD PC
Practice address
921 W 11TH St
1W
Traverse City, MI 49684-3002
Phone
(231) 947-1444
Fax
(231) 947-2444
NPI assigned
Jun 6, 2007
Last updated
Nov 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Mrs. Barbara Jones Smith, PHD
Title
Owner
Phone
(231) 947-1444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301007417 MI Primary

Addresses

Primary practice location

921 W 11TH St
1W
Traverse City, MI 49684-3002

Mailing address

921 W 11TH St
1W
Traverse City, MI 49684-3002
Phone (231) 947-1444

Other identifiers 1

IdentifierTypeStateIssuer
0B84653OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

2150 S Airport Rd W
Ste D
Traverse City, MI 49684
Phone (231) 392-3611

821 S Elmwood Ave
Ste C
Traverse City, MI 49684
Phone (231) 735-0144

921 W Eleventh St
Ste 1W
Traverse City, MI 49684
Phone (231) 929-9040

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1972706190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W 11TH ST",
            "address_2": "1W",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843002",
            "telephone_number": "231-947-1444",
            "fax_number": "231-947-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W 11TH ST",
            "address_2": "1W",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843002",
            "telephone_number": "231-947-1444",
            "fax_number": "231-947-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA JONES SMITH PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-947-1444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301007417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0B84653",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.