MATTHEW SMITH (NPI# 1407392731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407392731 |
| Entity Type | Individual |
| Full Name | MATTHEW SMITH |
| Credential | MA |
| Practice Address |
6692 Spring Arbor Rd Jackson MI 49201-9322 |
| Practice Telephone | 5177503869 |
| Practice Fax Number | 5177503673 |
| Mailing Telephone | 5177503869 |
| Mailing Fax Number | 5177503673 |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 6301016989 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063469 | Matthew James Smith | Social Worker | 24799 Purcell Rd, South Bloomingville, OH 43152-9740 | 2020-11-06 |
| 1003433277 | Matthew P Smith | Massage Therapist | 1733 E 22nd Ave Apt 1, Denver, CO 80205-5588 | 2020-07-02 |
| 1093332017 | Matthew Craig Smith | Dentist | 7033 Stantonsburg Rd, Farmville, NC 27828-9031 | 2020-06-26 |
| 1235790221 | Matthew Smith | Physical Therapist | 185 Hickory Ln, Washington Court House, OH 43160-9406 | 2019-06-21 |
| 1639739345 | Matthew Douglas Smith | Dentist | 500 Lentz Dr Ste 90a, Madison, TN 37115-5135 | 2019-06-14 |
| 1386128288 | Matthew Smith | Counselor | 621 E Erie Highway, Hamilton, OH 45011 | 2018-09-18 |
| 1427530591 | Matthew Smith | Nurse Practitioner | 196 W Sproul Rd Ste 205, Springfield, PA 19064-2045 | 2018-09-05 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1114446002 | Matthew R Smith | Counselor | 1801 E 5th St Ste 208, Charlotte, NC 28204-3400 | 2017-09-12 |
| 1518495241 | Matthew Smith | Internal Medicine | 200 Hawkins Dr Dept Intmed, Iowa City, IA 52242-1009 | 2017-05-25 |
| Street Address |
6692 SPRING ARBOR RD |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-9322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558475012 | Brent Roderick Smith | Psychologist | 6692 Spring Arbor Rd, Jackson, MI 49201 | 2006-08-19 |
| 1003372368 | Chelsea Kae Wells | Psychologist | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2019-02-12 |
| 1427540913 | Randall Eric Cole | Counselor | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2018-05-31 |
| 1093187338 | Elisabeth Smith | Psychologist | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2015-10-27 |
| 1366860470 | Kelly Tervol | Counselor | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2014-04-04 |
| 1336576073 | Lissa Lynn Cole | Counselor | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2013-09-26 |
| 1942549779 | Bethany Kaye Saunders | Counselor | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2013-02-14 |
| 1538423678 | Jamie Lea Lee | Counselor | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2012-07-03 |
| 1295051514 | Joell Lavonne Sanchez-deleon | Psychologist | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2010-04-12 |
| 1336475177 | Rachel Flowers | Social Worker | 6692 Spring Arbor Rd, Jackson, MI 49201-9322 | 2009-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792169 | Snake River Consulting LLC | Psychologist | 430 Pine Dr, Jackson, WY 83001-8417 | 2019-01-02 |
| 1972834604 | Sue C Radtke | Psychologist | 4476 Bittersweet Ct, Jackson, WI 53037-9754 | 2010-01-20 |
| 1043549280 | University of Mississippi Medical Center | Psychologist | 2500 N State St # H819-01, Jackson, MS 39216-4500 | 2009-12-17 |
| 1356511562 | John Patterson Thorn | Psychologist | 270 Veronica Lane, Suite C-1, Jackson, WY 83001-0000 | 2008-03-04 |
| 1013109552 | Terri Martin Revelle | Psychologist | 111 E. Jefferson St., Jackson, NC 27845 | 2007-08-17 |
| 1184830143 | Toby S Altfeld | Psychologist | 156 C West University Parkway, Jackson, TN 38305 | 2007-05-15 |
| 1497968911 | Mollie Wyatt | Psychologist | 4055 I-55 North, Suite 293, Jackson, MS 39211 | 2007-05-08 |
| 1124249719 | John David Vickery | Psychologist | 3363 Highway 45 North, Jackson, TN 38305 | 2007-05-01 |
| 1215157425 | Angela O'briant Herzog | Psychologist | Forty-five Hundred Interstate Fifty-five North, Suite 208, Jackson, MS 39211 | 2007-04-27 |
| 1295877165 | Rose Margaret Hochheiser | Psychologist | 140 King Street, Jackson, WY 83001 | 2007-02-13 |
| Find all providers in JACKSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.