Barbara G Smith, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004420 Issued in VA

Practice address

3900 Jermantown Rd Ste 300
Fairfax, VA 22030-4900

Phone

(703) 574-0012

Fax

(571) 266-5548

NPI assigned

Jun 7, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Barbara Jean Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Associated Clinical Services

  • Clinical Psychologist
  • Springfield, VA
  • NPI 1073522124
  NPD (past)

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1982998910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 JERMANTOWN RD STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304900",
            "telephone_number": "703-574-0012",
            "fax_number": "571-266-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JERMANTOWN RD STE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304900",
            "telephone_number": "703-574-0012",
            "fax_number": "571-266-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BARBARA",
        "middle_name": "G",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810004420",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBARA",
            "last_name": "SMITH",
            "middle_name": "JEAN",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Smiles 4 Fairfax, PLC
• Kristen Michelle Smiley-Flowers, MSN,RN, FNP-BC
• Alexandra Smith
• Alison C Smith, PH.D.
• Anna Smith
• Carmen Smith, CRNA
• Christopher Saunier Smith
• Cynthia Louise Smith
• David Smith, DPT
• Elissa Smith

• Clinical Psychologist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.