EVAN LEE SMITH (NPI# 1588119168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588119168 |
| Entity Type | Individual |
| Full Name | EVAN LEE SMITH |
| Credential | PHD |
| Practice Address |
325 East Eisenhower Suite 300 Ann Arbor MI 48108-5744 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7349367052 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2019-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301017632 | MI | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
6301017632 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 N Wolfe St, Baltimore, MD 212870005 | 5167212747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112096 | Evan Smith | Nurse Practitioner | 109 Parkway Pl, Tullahoma, TN 37388-5341 | 2020-04-07 |
| 1558854265 | Evan R Smith | Dentist | 99 St Paul Dr, Chambersburg, PA 17201-1020 | 2018-06-08 |
| 1386038065 | Evan Smith | Massage Therapist | 5530 Adams Rd, Talent, OR 97540-7701 | 2015-03-20 |
| 1720376288 | Evan Keith Smith | Dentist | 135 Perrin Pl Ste 100, Charlotte, NC 28207-2356 | 2011-07-19 |
| 1275851867 | Evan Ernest Smith | Specialist | 1314 Ne 8th St, Bend, OR 97701-4469 | 2010-05-06 |
| 1811525553 | Evan Hasani-obadiah Smith | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-03-30 |
| 1891270492 | Evan Conway Smith | Counselor | 33 Nw Broadway, Portland, OR 97209-3580 | 2018-09-28 |
| 1588157010 | Evan Smith | Student in an Organized Health Care Education/Training Program | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2018-06-09 |
| 1376081430 | Evan Robert Smith | Social Worker | 3031 W Ih 10, Attention : Credentialing, San Antonio, TX 78201-5159 | 2017-02-08 |
| 1992155014 | Evan Smith | Social Worker | 199 W Dominick St, Rome, NY 13440-5858 | 2016-06-20 |
| Street Address |
325 EAST EISENHOWER SUITE 300 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48108-5744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124007208 | Wade Michael Cooper | Psychiatry & Neurology | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2006-01-17 |
| 1073916391 | Sarah Whitney Laponsa | Physician Assistant | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-3364 | 2014-10-01 |
| 1447664156 | Moayad Saleh Alabdulkarim | Internal Medicine | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108 | 2014-06-20 |
| 1073926861 | Douglas Stanley Verrill | Internal Medicine | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2014-06-09 |
| 1952713125 | Shahd Haidar | Physical Medicine & Rehabilitation | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2014-05-22 |
| 1093135410 | Reina Nakamura | Physical Medicine & Rehabilitation | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2014-04-24 |
| 1295155828 | Braden Matthew Boji | Physical Medicine & Rehabilitation | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2014-04-22 |
| 1518386671 | Mary Megan Schmidt | Physical Medicine & Rehabilitation | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2014-04-15 |
| 1861828568 | Nathan Rhys Farlow | Physical Medicine & Rehabilitation | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-3364 | 2013-09-25 |
| 1396189643 | Maryam A Berri | Physical Medicine & Rehabilitation | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2013-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999249 | Creating Brighter Futures | Behavioral Analyst | 4201 Varsity Drive, Ste. C, Ann Arbor, MI 48108 | 2020-07-21 |
| 1326506320 | Michelle Bishop | Behavior Technician | 4935 Birch Hollow Dr, Ann Arbor, MI 48108 | 2019-03-08 |
| 1407326077 | Alexis Ewald | Behavior Technician | 2770 Carpenter Rd., Ann Arbor, MI 48108 | 2018-11-27 |
| 1003308511 | Ann Arbor Dental Specialists | Dentist | 3100 Eisenhower Parkway, Suite 200, Ann Arbor, MI 48108 | 2018-05-31 |
| 1144719295 | Jonathan Parker Etter | Physical Medicine & Rehabilitation | 325 E. Eisenhower, Suite 300, Spc 5744, Ann Arbor, MI 48108 | 2018-05-04 |
| 1427555895 | Blossom Health Services LLC | Social Worker | 2156 Glencoe Hills Dr Apt 12, Ann Arbor, MI 48108 | 2018-04-11 |
| 1669974580 | Camron Anthony Moorehead | Occupational Therapist | 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 | 2018-03-07 |
| 1396247862 | Crystal Ann D'agostino | Health Educator | 1169 Oak Valley Drive, Ann Arbor, MI 48108 | 2018-03-01 |
| 1538671250 | Miea Moon | Psychologist | 3200 E Eisenhower Parkway, Moriah Hall, Ann Arbor, MI 48108 | 2017-11-03 |
| 1003355546 | Rachael Connolly | Behavior Technician | 4201 Varsity Drive Suite C, Ann Arbor, MI 48108 | 2017-02-16 |
| Find all providers in zip 48108 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053925685 | Davia Steinberg Ogg, Ph.d., LLC | Psychologist | 300 N 5th Ave Ste 200, Ann Arbor, MI 48104-1447 | 2020-09-01 |
| 1730798794 | Joshua Kay | Psychologist | 308 Arbana Dr, Ann Arbor, MI 48103-3706 | 2020-07-27 |
| 1295344216 | Aaron Sedlar | Psychologist | 2500 Packard St Ste 104a, Ann Arbor, MI 48104-6827 | 2020-07-27 |
| 1992320071 | Gohar Psychological Services, Pllc | Psychologist | 321 S Main St Ste 212, Ann Arbor, MI 48104-2128 | 2020-06-15 |
| 1578187688 | Richard Reinsmith | Psychologist | 1420 Iroquois Pl, Ann Arbor, MI 48104-4638 | 2020-06-04 |
| 1063991594 | Abadi Psychology, Pllc | Psychologist | 2350 Washtenaw Ave Ste 7, Ann Arbor, MI 48104-4525 | 2018-08-07 |
| 1982196523 | Karen Gottschalk Psychotherapy | Psychologist | 2350 Washtenaw Ave Ste 7g, Ann Arbor, MI 48104-4532 | 2018-05-30 |
| 1386133973 | Judy Seldin Psychotherapy, Plc | Psychologist | 2350 Washtenaw Ave Ste 7e, Ann Arbor, MI 48104-4532 | 2018-05-09 |
| 1356839351 | Adam Lafave | Psychologist | 3830 Packard St Ste 280, Ann Arbor, MI 48108-2276 | 2018-04-25 |
| 1841797941 | Integrated Counseling LLC | Psychologist | 2311 E Stadium Blvd Ste B5, Ann Arbor, MI 48104-4803 | 2018-04-06 |
| Find all providers in ANN ARBOR | ||||
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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.