DR. LEWIS WILSON SMITH (NPI# 1619379161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619379161 |
| Entity Type | Individual |
| Full Name | DR. LEWIS WILSON SMITH |
| Credential | PH.D. |
| Practice Address |
1655 W Big Beaver Rd Troy MI 48084-3501 |
| Practice Telephone | 2486442955 |
| Mailing Telephone | 2486442955 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 6301002143 | MI | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 6301002143 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427682947 | Lewis Everett Smith | Counselor | 1130 Varney St Se, Washington, DC 20032-4372 | 2020-02-24 |
| 1346675600 | Lewis M Smith | Chiropractor | 6495 Shiloh Rd Ste A2-110, Alpharetta, GA 30005-1635 | 2013-09-05 |
| 1144380684 | Lewis G Smith IIi | Radiology | 11937 Us Hwy 271, Tyler, TX 75708-3154 | 2006-12-12 |
| 1225124753 | Lewis Smith | Internal Medicine | 675 N Saint Clair St, Suite 18-250, Chicago, IL 60611-5975 | 2006-10-04 |
| 1801836051 | Lewis Alan Smith | Physical Medicine & Rehabilitation | 3627 University Blvd S, Suite 355, Jacksonville, FL 32216-4230 | 2006-06-07 |
| Street Address |
1655 W BIG BEAVER RD |
| City | TROY |
| State | MI |
| Zip Code | 48084-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578514584 | Lewis Smith Ph.d., P.C. | Psychologist | 1655 W Big Beaver Rd, Troy, MI 48084-3501 | 2006-05-15 |
| 1528612843 | American Trinity Psychiatry Pllc | Psychiatry & Neurology | 1655 W Big Beaver Rd, Troy, MI 48084-3501 | 2019-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649782244 | Matthew Kadrich | Clinical Neuropsychologist | 3334 Rochester Rd # 205, Troy, MI 48083-5426 | 2017-11-04 |
| 1750839783 | Ace Psychological Consultants LLC | Clinical Neuropsychologist | 1920 Livernois Rd Ste D, Troy, MI 48083-1770 | 2016-09-20 |
| 1528257409 | Nida Haleema Hamid | Clinical Neuropsychologist | 3155 W Big Beaver Rd Ste 109, Troy, MI 48084-3006 | 2007-10-17 |
| 1306834551 | Randal Clay Bruce | Clinical Neuropsychologist | 1000 John R Rd Ste 211, Troy, MI 48083-4317 | 2005-10-12 |
| 1477066140 | Nexus Behavioral Health Pllc | Clinical Neuropsychologist | 3334 Rochester Rd # 205, Troy, MI 48083-5426 | 2017-11-15 |
| 1285802660 | Clifford F Furgison | Clinical Neuropsychologist | 755 W Big Beaver Rd, Suite 414, Troy, MI 48084-4900 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265046098 | Axon Psychology Group, PC | Clinical Neuropsychologist | 1377 Stonecreek Ct, Saint Joseph, MI 49085-9795 | 2020-08-31 |
| 1548814965 | Emily Nicole Robinett-ferrara | Clinical Neuropsychologist | 14050 Kingston St, Oak Park, MI 48237-1140 | 2019-07-25 |
| 1992237176 | Lauren Marie Golla | Clinical Neuropsychologist | 111 E Court St Ste 1b, Flint, MI 48502-1649 | 2017-03-28 |
| 1922556406 | Kenya Hameed | Clinical Neuropsychologist | 111 East Court St, Suite 1b-1, Flint, MI 48502 | 2016-09-14 |
| 1841609369 | Crystal Young | Clinical Neuropsychologist | 1550 E Beltline Ave Se, Suite 340, Grand Rapids, MI 49506-4301 | 2014-08-08 |
| 1497165146 | Woojin Song | Clinical Neuropsychologist | 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 | 2014-05-03 |
| 1831516152 | Ira Lourie, Psy.d., Pllc | Clinical Neuropsychologist | 30051 High Valley Rd, Farmington Hills, MI 48331-2144 | 2014-03-25 |
| 1306272042 | Erin Mark | Clinical Neuropsychologist | 2010 Hogback Rd Ste 6g, Ann Arbor, MI 48105-8800 | 2013-09-25 |
| 1326388554 | Timothy Grayson Royer | Clinical Neuropsychologist | 3790 30th St Sw, Grandville, MI 49418-1602 | 2013-02-25 |
| 1801164496 | Veronica Ichikawa Dillon | Clinical Neuropsychologist | 5600 Meadow Dr, Ann Arbor, MI 48105-9368 | 2011-12-09 |
| Find all providers with the same taxonomy | ||||
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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.