DR. BRENT RODERICK SMITH PSY.D.
NPI 1558475012
Psychologist - Clinical in Jackson, MI

Active since August 19, 2006PECOS EnrolledAccepts Medicare Assignment
6692 SPRING ARBOR RD, JACKSON, MI 49201(517) 750-3869(517) 750-3869 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 17, 2018, Jun 14, 2016 (2 updates tracked since 2016).

About Dr. Brent Roderick Smith Psy.d. NPPES

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

DR. BRENT RODERICK SMITH PSY.D. (NPI 1558475012) is an individual clinical provider in Jackson, Michigan, licensed in Michigan (6301008782) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Jackson, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1558475012
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BRENT RODERICK SMITHCredential: PSY.D.
Location Address6692 SPRING ARBOR RDJackson, MI 49201
Mailing Address6692 Spring Arbor RdJackson, MI 49201-9322 · (517) 750-3869 · Fax (517) 750-3673
Fax(517) 750-3869
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateAugust 19, 2006
Last NPPES UpdateAugust 17, 20182 updates tracked since enumeration
NPI 1558475012 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 MI · 6301008782
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.
6692 SPRING ARBOR RD, Jackson, MI 49201

Secondary Practice Location 1

Location 1818 Winifred StJackson, MI 49202-3062 · Phone (517) 513-3617 · Fax (517) 796-3104

Other Identifiers 1

Other680C845330MI · Blue Cross Blue Shield Mi

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Brent Roderick Smith Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193759165
PECOS Enrollment IDI20050920001001
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
694 services36 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

Psychologist
6692 SPRING ARBOR RD
JACKSON, MI 49201
Counselor
6692 SPRING ARBOR RD
JACKSON, MI 49201
Psychologist (Clinical)
6692 SPRING ARBOR RD
JACKSON, MI 49201
Social Worker (Clinical)
6692 SPRING ARBOR RD
JACKSON, MI 49201
Counselor
6692 SPRING ARBOR RD
JACKSON, MI 49201
Counselor (Mental Health)
6692 SPRING ARBOR RD
JACKSON, MI 49201
Psychologist
6692 SPRING ARBOR RD
JACKSON, MI 49201
Counselor (Professional)
6692 SPRING ARBOR RD
JACKSON, MI 49201

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 Brent Smith's NPI number?

The NPI number for Brent Smith is 1558475012. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Brent Smith located?

Brent Smith practices at 6692 Spring Arbor Rd, Jackson, MI 49201. The listed phone number is (517) 750-3869.

What is Brent Smith's specialty?

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

Is Brent Smith enrolled in Medicare?

Yes. Brent Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brent Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Brent Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brent Smith was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.