DR. ERIC S. SMITH PH.D
NPI 1154467504
Psychologist in Detroit, MI

Active since January 30, 2007Opted out of Medicare · through Jul 1, 2027
19445 W WARREN AVE, DETROIT, MI 48228(313) 307-0088(313) 281-2235 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Eric S. Smith Ph.d NPPES

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

DR. ERIC S. SMITH PH.D (NPI 1154467504) is an individual psychologist in Detroit, Michigan and active in the NPI registry since January 2007. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Henderson.

NPPES Registry Identity

NPI1154467504
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. ERIC S. SMITHCredential: PH.D
Location Address19445 W WARREN AVEDetroit, MI 48228-3361
Mailing Address19445 W Warren AveDetroit, MI 48228-3361 · (313) 307-0088 · Fax (313) 281-2235
Fax(313) 281-2235
Sole ProprietorYes
Enumeration DateJanuary 30, 2007
Last NPPES UpdateSeptember 13, 2021
NPPES CertifiedSeptember 13, 2021
NPI 1154467504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License 125 (NV)
19445 W WARREN AVE, Detroit, MI 48228

Secondary Practice Location 1

Location 12600 Paseo Verde Pkwy, Suite 200Henderson, NV 89074-7164 · Phone (702) 434-5282 · Fax (702) 434-4679

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Eric S. Smith Ph.d has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
19445 W WARREN AVE
DETROIT, MI 48228
Psychiatry & Neurology (Child & Adolescent Psychiatry)
19445 W WARREN AVE
DETROIT, MI 48228
Social Worker (Clinical)
19445 W WARREN AVE
DETROIT, MI 48228
Social Worker (Clinical)
19445 W WARREN AVE
DETROIT, MI 48228
Clinic/Center (Mental Health (Including Community Mental Health Center))
19445 W WARREN AVE
DETROIT, MI 48228
Psychologist
19445 W WARREN AVE
DETROIT, MI 48228
Counselor
19445 W WARREN AVE
DETROIT, MI 48228
Counselor
19445 W WARREN AVE
DETROIT, MI 48228

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 Eric Smith's NPI number?

The NPI number for Eric Smith is 1154467504. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Eric Smith located?

Eric Smith practices at 19445 W Warren Ave, Detroit, MI 48228. The listed phone number is (313) 307-0088.

What is Eric Smith's specialty?

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

Is Eric Smith enrolled in Medicare?

No. Eric Smith has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Eric Smith was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.