DR. RONALD GLENN SMITH (NPI# 1376720441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376720441 |
| Entity Type | Individual |
| Full Name | DR. RONALD GLENN SMITH |
| Credential | PH.D. |
| Practice Address |
55 Lake Havasu Ave S Ste. F-365 Lake Havasu City AZ 86403-0938 |
| Mailing Address |
2035 Mesquite Ave Ste. C Lake Havasu City AZ 86403-5894 |
| Practice Telephone | 9288542373 |
| Practice Fax Number | 9286809811 |
| Mailing Telephone | 9288542373 |
| Mailing Fax Number | 9286809811 |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0954 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124585542 | Ronald Laurence Smith | Counselor | 73 N 2nd Ave, Chula Vista, CA 91910-1124 | 2019-02-21 |
| 1366946204 | Ronald William Smith | Specialist/Technologist | 11847 Neuss Ave, Cincinnati, OH 45246-2450 | 2018-03-23 |
| 1407226574 | Ronald Smith | Counselor | 10199 Avenue F, Baton Rouge, LA 70807 | 2015-10-01 |
| 1750722989 | Ronald Kenneth Smith | Pharmacist | 63 W Seneca St, Oswego, NY 13126-1546 | 2013-07-16 |
| 1184867475 | Ronald James Smith | Dentist | 6404 Manatee Ave W Ste C, Bradenton, FL 34209-2358 | 2009-04-16 |
| 1548423692 | Ronald Gene Smith | Physical Therapist | 57 Brookside St, Prestonsburg, KY 41653-1714 | 2008-07-09 |
| 1083808034 | Ronald A. Smith | Adult Companion | 11144 Us 50, Dillsboro, IN 47018-8415 | 2007-09-04 |
| 1851500326 | Ronald James Smith | Dentist | 110 S Avenue E, Humble, TX 77338-4322 | 2007-05-22 |
| 1053434977 | Ronald G Smith | Chiropractor | 1250 S Main St, Ste 1a, Chelsea, MI 48118-1453 | 2007-04-07 |
| 1558481507 | Ronald Smith | Physical Therapist | 4629 Quail Lakes Dr, Stockton, CA 95207-5258 | 2007-03-30 |
| Street Address |
55 LAKE HAVASU AVE S STE. F-365 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-0938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346853454 | Tim Buschmann | Psychologist | 5288 S Azurite Trl, Flagstaff, AZ 86005-6812 | 2020-08-28 |
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1871116632 | Rhonda L. Smith | Psychologist | 4032 E Whitman St, Tucson, AZ 85711-2854 | 2020-05-27 |
| 1902426208 | Elisabetta Ambrosia | Psychologist | 4605 N Paseo Aquimuri, Tucson, AZ 85750-1613 | 2020-04-16 |
| 1861011314 | Nicole Marie Burr | Psychologist | 416 E Sheffield Ave, Chandler, AZ 85225-1157 | 2020-04-15 |
| 1760036826 | Rehabilitation Psychological Services | Psychologist | 2126 N Catalina Ave Unit 1, Tucson, AZ 85712-3364 | 2019-07-27 |
| 1831759240 | The University of Arizona | Psychologist | 1335 N Cherry Ave, Tucson, AZ 85721-0105 | 2019-06-18 |
| 1750849519 | Savannah Wright | Psychologist | 3001 S Pantano Edge Dr, Tucson, AZ 85730-2051 | 2019-03-11 |
| 1720552193 | Paul Andrew Nockels | Psychologist | 3600 Fox Lair Dr, Flagstaff, AZ 86004-7796 | 2019-01-17 |
| 1497226864 | Austin Mccall | Psychologist | 4425 W Olive Ave Ste 151, Glendale, AZ 85302-3855 | 2018-12-11 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
Please comment or provide details below to improve the information on DR. RONALD GLENN 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.