Healthcare Provider Details

I. General information

NPI: 1467387316
Provider Name (Legal Business Name): SMENDIK PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 FIELDING ST
FERNDALE MI
48220-2431
US

IV. Provider business mailing address

211 FIELDING ST
FERNDALE MI
48220-2431
US

V. Phone/Fax

Practice location:
  • Phone: 269-908-6706
  • Fax:
Mailing address:
  • Phone: 269-908-6706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JARED M SMENDIK
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 269-908-6706