Organization Active NPI

Kramer Smith Psychology Associates PC

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1982660528
Registry record updated Sep 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KRAMER SMITH PSYCHOLOGY ASSOCIATES PC
Practice address
209 Clinton St
Brooklyn, NY 11201-6268
Phone
(917) 693-0762
NPI assigned
Apr 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2010

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

Authorized official

Name
Michael C Smith, PH.D.
Title
Owner/Director
Phone
(917) 693-0762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

209 Clinton St
Brooklyn, NY 11201-6268

Mailing address

209 Clinton St
Brooklyn, NY 11201-6268
Phone (917) 693-0762

Other identifiers 1

IdentifierTypeStateIssuer
02760621MedicaidNY

National Provider Directory

National Provider Directory

Locations

3015 W 29th St
Brooklyn, NY 11224
Phone (718) 266-5700

NPI Registry JSON

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

{
    "created_epoch": "1145750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1982660528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CLINTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016268",
            "telephone_number": "917-693-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CLINTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112016268",
            "telephone_number": "917-693-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAMER SMITH PSYCHOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-23",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "917-693-0762",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02760621",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.