Darryl Robert Smith

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

37PC00844700 Issued in NJ

Practice address

50 Virginia Ave
Montclair, NJ 07042-2468

Phone

(862) 368-3105

NPI assigned

Jul 11, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1982338687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 GLENRIDGE AVE UNIT 1263",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070426850",
            "telephone_number": "862-368-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 VIRGINIA AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422468",
            "telephone_number": "862-368-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DARRYL",
        "middle_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37PC00844700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Floyd J. Slaten Jr., R.PH.
• Alyson Wolens Slutzky, MSW, LCSW
• Glenda Nicole Smiley
• Alexys Smith
• Amira Shereek Smith
• Hannah Smith, LSW
• Leonard H Smith, MA, LPC
• Peter A Smith, OT
• Regina Smith
• Samantha J Smith, MSW, LCSW

• Marriage & Family Therapist in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.