Individual Healthcare Provider
Wanda Denise Smith, CPSYC HCPROF
Provider's NPPES record last updated: February 12, 2020
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1114550688
- Primary Specialty
- Psychologist — Clinical
- Practice Location
- Hazel Crest, Illinois
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 9:07 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Psychologist
Clinical
Behavioral Health & Social Service Providers
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Taxonomy code 103TC0700X Psychologist
Clinical Child & Adolescent
Behavioral Health & Social Service Providers
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Taxonomy code 103TC2200XCommunity Health Worker
Other Service Providers
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
Taxonomy code 172V00000XClinic/Center
Community Health
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QC1500X
Provider-Reported License Information
- Psychologist (Illinois)
- 8KUSC7H7
- Psychologist (Illinois)
- KWN75FB9
- Community Health Worker (Illinois)
- 8KUSC7H7
- Clinic/Center (Illinois)
- 8KUSC7H7
Practice Locations
Practice Location
17100 Dixie Hwy Ste D
Hazel Crest, Illinois 60429-1485
Phone: (331) 643-5238
Additional Practice Location
11344 S Hermosa Ave
Chicago, Illinois 60643-4279
Phone: (331) 643-5238
Record Information
- Enumeration Date
- February 12, 2020
- Provider's NPPES Record Last Updated
- February 12, 2020
- Certification Date
- February 12, 2020
- NPISignal NPPES Dataset
- August 2026
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