MR. W KELLAR SMITH


Address: 1022 A N Main St, Avada Bldg 2nd Floor, Butler, PA 16001
Phone: 7242838622

MR. W KELLAR SMITH (NPI# 1548335409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548335409
Entity Type Individual
Full Name MR. W KELLAR SMITH
Credential MA
Practice Address 1022 A N Main St
Avada Bldg 2nd Floor
Butler
PA 16001
Mailing Address 356 Bruin Rd
Petrolia
PA 16050
Practice Telephone 7242838622
Mailing Telephone 7247532650
Enumeration Date 2006-11-22
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PS007665L PA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 01972890 05

Other Providers W SMITH

NPI Name Taxonomy Address Enumeration
1164499836 W Bret Smith Dermatology 383 S 300 E, St George, UT 84770 2006-03-02

Office Location

Street Address 1022 A N MAIN ST
AVADA BLDG 2ND FLOOR
City BUTLER
State PA
Zip Code 16001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427193135 Inger Marie Jensen Social Worker 1022 A N Main St, Butler, PA 16001 2007-02-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407347842 Sara Rae Saeler Speech-Language Pathologist Lifesteps Early Education Center, 383 New Castle Road, Butler, PA 16001 2018-05-22
1265937601 Sang Chul Lee Dentist 222 W Cunningham St Ste 106, Butler, PA 16001 2018-03-27
1255850251 Kristin Michelle Mohler Nurse Practitioner 353 N. Duffy Rd, Butler, PA 16001 2017-09-12
1164977096 Jessica Rossman Optometrist 120 Hollywood Dr Ste 102, Butler, PA 16001 2016-08-21
1801244355 The Care Center Case Management 115-121 East North Street, Butler, PA 16001 2016-05-25
1912385287 Jennifer Marie Nelson Registered Nurse 121 Sawmill Ln, Butler, PA 16001 2015-05-07
1659799427 Kelli M. Ruby Psychiatry & Neurology 901 E Brady St Ste 103, Butler, PA 16001 2014-03-31
1942627815 Good Choices Counseling, LLC Social Worker 1022a North Main Street Extension, Butler, PA 16001 2014-03-27
1821415068 Jill Charlene Ferguson Counselor 200 Renaissance Drive, Suite 301, Butler, PA 16001 2014-03-26
1922435668 Sarah J Wagner Counselor 371 North Main Street, Second Floor, Butler, PA 16001 2013-09-26
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164643581 John Allen Keough Psychologist Rr 4 Box 658, Butler, MO 64730-9458 2007-05-01
1023134186 Wayne Psychological Group LLC Psychologist 45 Carey Ave, Suite 204, Butler, NJ 07405-1443 2007-03-21
1083625941 Butler Wellness Support Services Wellness Works Psychologist 349 N Mckean Street, Butler, PA 16001-5426 2006-08-10
1093729303 Inara K Segal Psychologist 1250 Route 23 North, Suite 5, Butler, NJ 07405-2002 2006-07-29
1295711109 Michael J Gardner Psychologist 805 N Orange St, Butler, MO 64730 2005-12-22
1609111798 Wellness Works Counseling LLC Psychologist 349 N Mckean St, Butler, PA 16001-4928 2012-11-30
1083911473 Ian Edwards Psychologist 350 N Main St, Butler, PA 16001-4921 2011-02-21
1699894436 Janice Adrienne Knapp Psychologist 1022 N Main Street Ext, Ste 204, Butler, PA 16001-1962 2007-03-29
1447309133 Martin Barry Meyer Psychologist 220 S Main St, Suite 304, Butler, PA 16001-5987 2007-01-10
1588713283 Julie Sue Uran Psychologist 220 S Main St, Suite 304, Butler, PA 16001-5987 2007-01-10
Find all providers in BUTLER

Competitor

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City BUTLER
Zip Code 16001

Improve Information

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Dataset Information

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.

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