Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1457634495 Deactivated / Inactive NPI Female Practitioner

Dr. Judy D. Smith , PhD

Psychologist • Grants Pass, OR

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Judy Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 26, 2011
NPI Deactivation Date November 18, 2021
Total Practice Duration ~10 Years of Practice (2011 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Judy Smith, PhD was a registered Psychologist practicing in Grants Pass, OR. Throughout an active medical career spanning 10 years, Dr. Smith provided care at the practice location at 980 SW 6TH ST until profile deactivation on 2021-11-18.

Historical Medicare Part B clinical services included psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

980 Sw 6th St
Suite 24

Grants Pass, OR 975262910

Telephone 5412918863
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Grants Pass, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 18.9 Yrs
Regional Practice Density
5 Specialists

Practicing in Grants Pass, OR (780 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
55 16 $254.56 $122.02
90834 Psychotherapy, 45 minutes
37 17 $206.67 $81.15

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License OR 2109

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1336350826

Licensed Massage Therapist

NPI 1518093277

Doctor of Chiropractic

Libby Mclain , MS, LPC, NCC

Counselor - Mental Health

NPI 1558401117

Master of Science, Licensed Professional Counselor, National Certified Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated November 18, 2021

Record deactivated on November 18, 2021

NPI Profile Active October 27, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2014

Registered at 980 SW 6TH ST, SUITE 24, GRANTS PASS, OR 975262910 (Tel: 5412918863)

📍
Updated Business Mailing Address October 27, 2014

Registered at 980 SW 6TH ST, SUITE 24, GRANTS PASS, OR 975262910 (Tel: 5412918863)

👤
Provider Name / Credentials Updated October 27, 2014

Recorded as JUDY SMITH, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2014

Psychologist (License #2109 in OR)

🟢
Initial NPI Registration & Enumeration September 26, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Judy Smith. Be the first to share your experience!

Sign in to leave a review for Dr. Judy Smith

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1457634495
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2011
Last Update: October 27, 2014
Deactivation Date: November 18, 2021

Mailing Address

980 Sw 6th St, Suite 24

Grants Pass, OR 975262910

Phone: 5412918863

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.