DR. AMELIA ANNE SMITH PSYD. - NPI 1184056756

Q: What is Amelia Smith's NPI number?

The NPI number for Amelia Smith is 1184056756. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Q: What is Amelia Smith's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Amelia Smith enrolled in Medicare?

No. Amelia Smith has opted out of Medicare through January 20, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Amelia Smith was last updated on December 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Amelia Anne Smith Psyd. NPPES

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

DR. AMELIA ANNE SMITH PSYD. (NPI 1184056756) is an individual clinical provider in Bend, Oregon, licensed in Oregon (3112) and active in the NPI registry since August 2013. She has opted out of Medicare through January 20, 2028.

NPPES Registry Identity

NPI1184056756

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. AMELIA ANNE SMITHCredential: PSYD.

Location Address1345 NW WALL ST STE 303Bend, OR 97703-1970

Mailing Address1345 Nw Wall St Ste 303Bend, OR 97703-1970 · (541) 819-0706

Phone(541) 819-0706

Sole ProprietorYes

Enumeration DateAugust 6, 2013

Last NPPES UpdateDecember 13, 2024

NPPES CertifiedDecember 13, 2024

✔ NPI 1184056756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OR · 3112

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1345 NW WALL ST STE 303, Bend, OR 97703

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

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. Amelia Anne Smith Psyd. 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 January 20, 2026 through January 20, 2028.

Opt-Out Effective DateJanuary 20, 2026

Opt-Out In Effect ThroughJanuary 20, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

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

DOWNTOWN PSYCHOLOGICAL SERVICES

Psychologist (Clinical)