MEDICARE: SMETTER MENTAL HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1790578813
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMETTER MENTAL HEALTH PLLC

Provider Business Mailing Address
First Line	:	1819 W LELAND AVE APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-4369
Country	:	US
Telephone Number	:	312-442-0337
Fax Number	:

Provider Business Practice Location Address
First Line	:	1819 W LELAND AVE APT 3
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-4369
Country	:	US
Telephone Number	:	312-442-0337
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPH SMETTER
Credential	:	PH.D.
Telephone Number	:	312-442-0337

Provider Enumeration Date	:	05/22/2025
Last Update Date	:	05/22/2025

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Directions to “SMETTER MENTAL HEALTH PLLC ” Practice Location

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