DR. MARY BEARDALL SMITH (NPI# 1215232640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215232640 |
| Entity Type | Individual |
| Full Name | DR. MARY BEARDALL SMITH |
| Other Name | DR. MARY B SMITH |
| Credential | PH.D. |
| Practice Address |
2653 Sw 87th Dr Suite A Gainesville FL 32608-9313 |
| Practice Telephone | 3523310020 |
| Practice Fax Number | 3523310022 |
| Mailing Telephone | 3523310020 |
| Mailing Fax Number | 3523310022 |
| Enumeration Date | 2011-01-15 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY8210 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604133 | Mary Smith | Technician | 3306 Cypress Ave, Cleveland, OH 44109-4935 | 2020-09-22 |
| 1275147209 | Mary Irene Smith | Technician | 490 Court St, Fort Gay, WV 25514-9304 | 2020-09-08 |
| 1679183560 | Mary Jean Smith | Counselor | 2105 Capurro Way Ste 270, Sparks, NV 89431-8518 | 2020-08-05 |
| 1346863016 | Mary Maegan Smith | Physical Therapy Assistant | 4545 State Highway 135 N, Jacksonville, TX 75766-6971 | 2020-05-28 |
| 1326668716 | Mary Smith | Adult Companion | 2546 Ne 11th Pl, Gainesville, FL 32641-4886 | 2020-04-25 |
| 1912534256 | Mary Margaret Smith | Dietitian, Registered | 756 Forest Dr, Mayville, WI 53050-1704 | 2020-03-26 |
| 1265074454 | Mary Elizabeth Smith | Nurse Practitioner | 1441 Ne 10th Ave # Aev, Payette, ID 83661-5420 | 2019-10-09 |
| 1477014686 | Mary Smith | Physical Therapy Assistant | 209 Laura Springs Dr, Salisbury, NC 28146-7216 | 2019-03-29 |
| 1578040341 | Mary Stefanie Smith | Marriage & Family Therapist | 17581 Via Sereno, Monte Sereno, CA 95030-3201 | 2018-07-25 |
| 1720588817 | Mary Smith | Home Health Aide | 5333 Dix St Ne, Washington, DC 20019-6664 | 2018-02-15 |
| Street Address |
2653 SW 87TH DR SUITE A |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32608-9313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776070 | Tamara Lynn Martin | Psychologist | 2653 Sw 87th Dr, Suite A, Gainesville, FL 32608-9313 | 2005-08-09 |
| 1831500727 | Tamara L Martin LLC | Psychologist | 2653 Sw 87th Dr, Suite A, Gainesville, FL 32608-9313 | 2014-05-13 |
| 1629316302 | Jacquelynn Lamb | Counselor | 2653 Sw 87th Dr, Suite A, Gainesville, FL 32608-9313 | 2013-01-30 |
| 1609000157 | Acupuncture Center of North Florida LLC | Acupuncturist | 2653 Sw 87th Dr, Suite A, Gainesville, FL 32608-9313 | 2009-05-13 |
| 1306081369 | Michelle Marie Bishop | Psychologist | 2653 Sw 87th Dr, Suite A, Gainesville, FL 32608-9313 | 2008-12-04 |
| 1659524361 | Lori Russ-eisenschenk | Psychologist | 2653 Sw 87th Dr, Suite A, Gainesville, FL 32608-9313 | 2008-10-24 |
| 1871697110 | Evelyn R Sullivan | Psychologist | 2653 Sw 87th Dr, Suite A, Gainesville, FL 32608-9313 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426758 | Earlene Mae Anderson | Technician | 7770 Sw 47th Lane, Gainesville, FL 32608 | 2019-09-19 |
| 1588214720 | Jimmie Lee Crawford | Technician | 7427 Sw 63rd Terrace, Gainesville, FL 32608 | 2019-09-19 |
| 1306495346 | Lori Turbow | Technician | 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 | 2019-09-11 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1669948097 | Eric Scott Traub | Genetic Counselor, MS | 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 | 2018-10-24 |
| 1457834053 | Riverswarmingtouch LLC | Adult Companion | 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 | 2018-09-10 |
| 1811481252 | Anthony Farmer | Dentist | 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 | 2018-06-19 |
| 1184112823 | Zoraida Vazquez | Early Intervention Provider Agency | 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 | 2018-04-27 |
| 1942739214 | Brittany R Brown | Homemaker | 2908 Sw 38th Place, Gainesville, FL 32608 | 2017-06-08 |
| 1639605801 | Touch of Care,llc | Home Health | 6040 Sw 63rd Blvd, Gainesville, FL 32608 | 2017-05-10 |
| Find all providers in zip 32608 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992353999 | Greater Gainesville Counseling & Wellness Center | Psychologist | 4130 Nw 37th Pl Ste Boffice1, Gainesville, FL 32606-8152 | 2019-09-03 |
| 1518515089 | Joseph Michael Gullett | Psychologist | 1600 Sw Archer Rd Rm G-901, Gainesville, FL 32610-1135 | 2019-08-28 |
| 1710532205 | Robert Scott Merrell | Psychologist | 3940 Nw 37th Pl, Gainesville, FL 32606-6145 | 2019-08-02 |
| 1669974713 | Alana Rawlinson | Psychologist | 1600 Sw Archer Rd Ste G-901, Gainesville, FL 32610-3003 | 2018-03-05 |
| 1407397037 | North Georgia Neuropsychological Services | Psychologist | 1485 Jesse Jewel Parkway Se, Gainesville, GA 30501 | 2017-03-15 |
| 1295111839 | Cari Short | Psychologist | 8320 Pine Knott Ct, Gainesville, VA 20155-5218 | 2015-08-05 |
| 1104223890 | Jennifer Martin | Psychologist | 1624 Nw 6th St, Gainesville, FL 32609-3530 | 2014-11-25 |
| 1942620646 | Joy Gabrielli | Psychologist | 2000 Sw Archer Rd G-901, Gainesville, FL 32610-7825 | 2014-04-21 |
| 1518392828 | Regilda Anne Romero | Psychologist | 2121 Nw 40th Ter Ste B, Gainesville, FL 32605-5814 | 2013-09-05 |
| 1003257189 | Marc Kepner LLC | Psychologist | 9224 Nw 59th Ln, Gainesville, FL 32653-2880 | 2013-07-17 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32608 |
Please comment or provide details below to improve the information on DR. MARY BEARDALL SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.