Michael David Smith, PSY.D.
NPI 1003167909ActiveIndividual· Psychologist· La Crosse, WI
Psychologist (PSY.D.) in La Crosse, Wisconsin, licensed in WI and PA, with an NPI issued in October 2012. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1003167909 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | Oct 2, 2012 |
| Last updated in NPPES | Jul 9, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 3168 | WI |
| Psychologist, Clinical | 103TC0700X | PS015414 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WI) |
|---|
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