SAMUEL C SMITH PHD
NPI 1720002744
Psychologist in Fort Atkinson, WI

Active since July 26, 2006
509 MCMILLEN ST, FORT ATKINSON, WI 53538(920) 563-7995(920) 568-6047 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel C Smith Phd NPPES

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

SAMUEL C SMITH PHD (NPI 1720002744) is an individual psychologist in Fort Atkinson, Wisconsin, licensed in Wisconsin (528-056) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1720002744
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameSAMUEL C SMITHCredential: PHD
Location Address509 MCMILLEN STFort Atkinson, WI 53538-1263
Mailing Address509 Mcmillen StFort Atkinson, WI 53538-1263 · (920) 563-7995 · Fax (920) 568-6047
Fax(920) 568-6047
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1720002744 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 WI · 528-056
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.
509 MCMILLEN ST, Fort Atkinson, WI 53538

Other Identifiers 2

Medicare UPINR70959
Medicaid39041100WI

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.

Counselor (Addiction (Substance Use Disorder))
509 MCMILLEN ST
FORT ATKINSON, WI 53538
Social Worker (Clinical)
509 MCMILLEN ST
FORT ATKINSON, WI 53538
Psychologist (Health Service)
509 MCMILLEN ST
FORT ATKINSON, WI 53538
Psychologist
509 MCMILLEN ST
FORT ATKINSON, WI 53538
Social Worker (Clinical)
509 MCMILLEN ST
FORT ATKINSON, WI 53538

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 Samuel Smith's NPI number?

The NPI number for Samuel Smith is 1720002744. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Samuel Smith located?

Samuel Smith practices at 509 Mcmillen St, Fort Atkinson, WI 53538. The listed phone number is (920) 563-7995.

What is Samuel Smith's specialty?

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

When was this NPI record last updated?

The NPPES record for Samuel Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.