DR. TIMOTHY SMITH (NPI# 1629120340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629120340 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY SMITH |
| Credential | PH.D. |
| Practice Address |
413 E 2nd St Rome GA 30161-3109 |
| Mailing Address |
Po Box 1692 Woodstock GA 30188-1366 |
| Practice Telephone | 7062912288 |
| Mailing Telephone | 7062912288 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | PSY002634 | GA | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY002634 | GA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
PSY002634 | GA | Behavioral Health & Social Service Providers |
| X | 103TC1900X |
Psychologist Specialization: Counseling |
PSY002634 | GA | Behavioral Health & Social Service Providers |
| X | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
PSY002634 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170698 | Timothy David Smith | Student in an Organized Health Care Education/Training Program | 433 S 7th St Apt 1822, Minneapolis, MN 55415-1641 | 2019-12-04 |
| 1497103758 | Timothy Smith | Contractor | 81337 Avenida Romero, Indio, CA 92201 | 2016-05-27 |
| 1114389442 | Timothy James Smith | Physical Therapist | 1741 Trent St, Crofton, MD 21114-2301 | 2016-03-25 |
| 1235492190 | Timothy W Smith | Dentist | 655 Al Highway 69 S, Hanceville, AL 35077-3405 | 2012-06-15 |
| 1871897090 | Timothy Floyd Smith | Mechanotherapist | 7621 Ne Waldo Rd, Gainesville, FL 32609-1267 | 2011-01-03 |
| 1760702088 | Timothy Alan Smith | Chiropractor | 6839 Five Star Blvd Ste F, Rocklin, CA 95677-2685 | 2010-06-09 |
| 1699933424 | Timothy Alan Smith | Denturist | 38565 Proctor Blvd, Sandy, OR 97055-0744 | 2008-05-29 |
| 1477676336 | Timothy J Smith | Family Medicine | 5281 Thomas Rd, Sebastopol, CA 95472-9374 | 2007-04-07 |
| 1811038243 | Timothy Blair Smith | Dentist | 310 Se 2nd, Suite 203, Pendleton, OR 97801 | 2007-02-09 |
| 1467592501 | Timothy B. Smith | Hearing Instrument Specialist | 217 Page Bacon Rd, #1, Mary Esther, FL 32569-1685 | 2007-02-07 |
| Street Address |
413 E 2ND ST |
| City | ROME |
| State | GA |
| Zip Code | 30161-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069256 | Three Rivers Housing and Development Corporation | Chore Provider | 326 W. 9th St, Rome, GA 30161 | 2020-03-27 |
| 1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
| 1003394883 | Cindy V Shelton | Health Educator | 204 E 1st Ave, Rome, GA 30161 | 2018-08-02 |
| 1083153597 | Julie Oglesby Allen | Counselor | 1 S Broad St Sw Ste 5, Rome, GA 30161 | 2017-02-16 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1407259112 | Angela Smith | Community/Behavioral Health | 109 John Maddox Suite 200, Rome, GA 30161 | 2014-10-08 |
| 1215344379 | Nancy Patel | Pharmacist | 1421 North Broad St, Rome, GA 30161 | 2014-07-21 |
| 1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
| 1558526202 | Marilyn Teresa Ringstaff | Registered Nurse | 1513 Dean St., Rome, GA 30161 | 2008-07-22 |
| 1134310147 | Reneka L Dobbs-jackson | Family Medicine | 420 E 2nd Ave Ste 103, Rome, GA 30161 | 2007-08-05 |
| Find all providers in zip 30161 | ||||
| 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 |
|---|---|---|---|---|
| 1326168410 | Elizabeth S Hudson | Psychologist | 17 Professional Ct Sw, Rome, GA 30165-2844 | 2007-03-30 |
| 1265567119 | Patricia D Dematteo | Psychologist | 202 S Levitt St, Rome, NY 13440-2910 | 2007-02-22 |
| 1831294370 | Dann Downey | Psychologist | 215 Broad St, Suite 201, Rome, GA 30161 | 2006-09-13 |
| 1538106869 | Robert Harold Connell | Psychologist | 1345 Redmond Road, Rome, GA 30165 | 2006-06-02 |
| 1962940817 | Lifesource of North Carolina | Psychologist | 1345 Redmond Cir Nw, Rome, GA 30165-1307 | 2017-02-10 |
| 1669801551 | Barbara Rubin | Psychologist | 1345 Redmond Cir Nw, Rome, GA 30165-1307 | 2013-11-01 |
| 1184961658 | Paul Schlachter | Psychologist | 1345 Redmond Road, Rome, GA 30165 | 2013-01-03 |
| 1942585955 | Leslie Joseph Szempruch | Psychologist | 101 W Liberty St, Rome, NY 13440-5717 | 2011-10-21 |
| 1326101643 | Mary Jo Burns | Psychologist | 110 E Chestnut St, Rome, NY 13440-2832 | 2006-12-18 |
| 1235290701 | Elizabeth Austin | Psychologist | 106 E 5th Ave, Rome, GA 30161-3128 | 2006-12-12 |
| Find all providers in ROME | ||||
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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.