DR. PAUL LUCKI SMITH (NPI# 1376533265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376533265 |
| Entity Type | Individual |
| Full Name | DR. PAUL LUCKI SMITH |
| Credential | PH.D. |
| Practice Address |
15655 33 Mile Rd Armada MI 48005-3400 |
| Practice Telephone | 5867470206 |
| Mailing Telephone | 5867470206 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2013-10-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301012845 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114555315 | Paul Smith | Counselor | 5180 Roswell Rd, Atlanta, GA 30342-2293 | 2020-04-01 |
| 1861982647 | Paul Smith | Physical Therapy Assistant | 314 S South St Ste 200, Mount Airy, NC 27030-4599 | 2018-05-16 |
| 1639675606 | Paul Robert Smith | Registered Nurse | 357 Pismo St Apt F, San Luis Obispo, CA 93401-6141 | 2018-03-30 |
| 1245694785 | Paul Smith | Hearing Instrument Specialist | 1275 E Pierce St, Council Bluffs, IA 51503-4748 | 2016-04-11 |
| 1639515364 | Paul Joseph Smith | Psychiatry & Neurology | 12520 High Bluff Dr Ste 135, San Diego, CA 92130 | 2013-05-21 |
| 1306112503 | Paul Smith | Rehabilitation Practitioner | 2941 E 94th Pl, Tulsa, OK 74137-8723 | 2012-04-02 |
| 1073804100 | Paul Anthony Smith | Physical Therapy Assistant | 4828 College Lake Dr, Florence, SC 29506-8900 | 2011-04-24 |
| 1942522529 | Paul Albert Smith | Physical Therapist | 330 Grandview Dr, Lander, WY 82520-2904 | 2010-02-23 |
| 1548495625 | Paul G Smith | Chiropractor | 8785 W Warm Springs Road, Suite 109, Las Vegas, NV 89148-1823 | 2009-05-19 |
| 1588812200 | Paul Corby Smith | Psychologist | 1163 10th St, Martin, MI 49070-9722 | 2008-09-06 |
| Street Address |
15655 33 MILE RD |
| City | ARMADA |
| State | MI |
| Zip Code | 48005-3400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548880107 | Jacqueline Gellick | Speech-Language Pathologist | C/ Ribera 23 - 3 Izqda-dcha, Bilbao, VIZCAA 48005 | 2020-04-23 |
| 1568992006 | Linda Sue Pierce | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24436 Armada Ridge Rd, Armada, MI 48005 | 2017-06-18 |
| 1447424148 | Kurt William Hollweg | Dentist | 22905 W. Main St, Armada, MI 48005 | 2008-04-15 |
| 1700971157 | Deborah Lynn Saelens | Counselor | 23045 Main St, Armada, MI 48005 | 2006-10-03 |
| 1417246828 | Zeinth Begum Khan | Chiropractor | 23111 E Main St, Armada Chiropractic, Armada, MI 48005 | 2011-04-06 |
| 1841465358 | William Lewis Tucker | Dentist | 22905 W Main St, Armada, MI 48005-0905 | 2008-04-25 |
| 1023407863 | Cheryl Ann Spaulding | Social Worker | 18300 Pratt Rd, Armada, MI 48005-1150 | 2015-01-16 |
| 1891733820 | Armada Township | Ambulance | 23175 Armada Center Rd, Armada, MI 48005-2763 | 2006-06-03 |
| 1184738304 | Erica Ann Grunwald | Dentist | 22905 W Main St # 571, Armada, MI 48005-3225 | 2006-08-17 |
| 1013108554 | William L. Tucker, Dds, Plc | Clinic/Center | 22905 W Main St, Armada, MI 48005-3225 | 2007-08-08 |
| Find all providers in zip 48005 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
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| 1083213631 | Robert J. Sheppard Phd Pllc | Psychologist | 8339 Brookwood Dr, Portage, MI 49024-5207 | 2020-10-23 |
| 1952900037 | Jamila Simone Steward | Psychologist | 31275 Northwestern Hwy Ste 216, Farmington Hills, MI 48334-2570 | 2020-10-20 |
| 1992303465 | Madison Bryant | Psychologist | 1231 S Cass Lake Rd, Waterford, MI 48328-4739 | 2020-10-15 |
| 1730787664 | Athal Yako | Psychologist | 18230 Teresa Dr, Macomb, MI 48044-1681 | 2020-10-13 |
| 1538767678 | Up Telehealth, LLC | Psychologist | 228 W Washington St Ste 7, Marquette, MI 49855-4330 | 2020-10-12 |
| 1881292076 | Meaningful Change: Clinical & Consultation Psychology, Pllc | Psychologist | 1861 Woodland Dr, Mount Pleasant, MI 48858-1298 | 2020-10-11 |
| 1902404122 | Dorrean Riley | Psychologist | 19189 Lexington, Redford, MI 48240-2618 | 2020-10-09 |
| 1174130850 | Timber Creek Counseling West LLC | Psychologist | 2976 Ivanrest Ave Sw Ste 215, Grandville, MI 49418-1440 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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| 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.