DR. SUSAN SMART PH.D.
NPI 1093885592
Psychologist in Prairie Home, MO

Active since November 09, 2006PECOS Enrolled
22409 ELLIS DAVIS RD, PRAIRIE HOME, MO 65068(660) 841-5031 Get Directions Write a Review

NPPES record last updated: August 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Susan Smart Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUSAN SMART PH.D. (NPI 1093885592) is an individual psychologist in Prairie Home, Missouri, licensed in Missouri (2000163196) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093885592
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SUSAN SMARTCredential: PH.D.
Location Address22409 ELLIS DAVIS RDPrairie Home, MO 65068-2143
Mailing Address22409 Ellis Davis RdPrairie Home, MO 65068-2143 · (660) 841-5031
Sole ProprietorYes
Enumeration DateNovember 9, 2006
Last NPPES UpdateAugust 1, 2016
NPI 1093885592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MO · 2000163196
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.
22409 ELLIS DAVIS RD, Prairie Home, MO 65068

Other Names 1

Professional Name (2)Dr. Susan Smart Ph.d.

Other Identifiers 1

Medicaid499774826MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Susan Smart Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Smart's NPI number?

The NPI number for Susan Smart is 1093885592. It was assigned to this individual provider in the NPPES registry on November 9, 2006. The provider is also known as Dr. Susan Smart Ph.D..

Where is Susan Smart located?

Susan Smart practices at 22409 Ellis Davis Rd, Prairie Home, MO 65068. The listed phone number is (660) 841-5031.

What is Susan Smart's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Susan Smart enrolled in Medicare?

Yes. Susan Smart is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Smart was last updated on August 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.