Amelia Smith, PSYD., LLC.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

AMELIA SMITH, PSYD., LLC.

Practice address

1345 NW Wall St Ste 303
Bend, OR 97703-1970

Phone

(541) 819-0706

NPI assigned

Aug 6, 2019

Last updated

Sep 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Amelia Anne Smith, PSYD.NPI 1184056756

Title

Licensed Psychologist

Phone

(541) 819-0706

Specialties & licenses 1

Addresses

Other names 1

• Downtown Psychological Services Other name

Practitioners 1

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.

• Amelia Anne Smith, PSYD.

  • Clinical Psychologist
  • Bend, OR
  • NPI 1184056756
  NPD Authorized official

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1992350987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 NW WALL ST STE 303",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031970",
            "telephone_number": "541-819-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 NW WALL ST STE 303",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031970",
            "telephone_number": "541-819-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA SMITH, PSYD., LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "541-819-0706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downtown Psychological Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Downtown Psychological Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Patricia Ann Alvarez-Simmons, LMT
• Always Wellness LLC
• Amberena L Fairlee DMD LLC (Cascadia Family Dental)
• Debra Marie Amberson, REGISTERED NURSE
• Amedisys Oregon LLC (Amedisys Home Health Care)
• American Medical Transit LLC
• Joel Amezcua, LAC
• Amie Schulz LCSW LLC
• Katherine Amman
• Anne Marie Amos

• Clinical Psychologist in Bend, OR
• Providers in Bend, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.