DR. JEFFREY ALAN SMITH (NPI# 1659306488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659306488 |
Entity Type | Individual |
Full Name | DR. JEFFREY ALAN SMITH |
Credential | PH.D. |
Practice Address |
3455 Polo Rd Suite 106 Winston Salem NC 27106-4828 |
Practice Telephone | 3363541171 |
Practice Fax Number | 3367681860 |
Mailing Telephone | 3363541171 |
Mailing Fax Number | 3367681860 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 1486 | NC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | BCBS | 0444F | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437768207 | Jeffrey Michael Smith | Nurse Practitioner | 96 Sutton St, Northbridge, MA 01534-1003 | 2020-07-28 |
1558989582 | Jeffrey Smith | Registered Nurse | 9200 Basil Ct Ste 100, Upper Marlboro, MD 20774-5309 | 2020-07-07 |
1447723101 | Jeffrey Clinton Smith | Massage Therapist | 254 W Palmer Lake Dr, Pueblo West, CO 81007-2877 | 2019-01-05 |
1518457738 | Jeffrey David Smith | Student in an Organized Health Care Education/Training Program | 1400 Locust Street Ermire, Suite 11516, Pittsburgh, PA 15219-5114 | 2018-05-14 |
1992252100 | Jeffrey Smith | Community/Behavioral Health | 99 Royal Vista Dr Unit 408, Branson, MO 65616-6237 | 2016-09-06 |
1790132900 | Jeffrey Smith | Registered Nurse | 209 Cedar Grove Dr, Youngsville, LA 70592-5853 | 2016-05-17 |
1538586680 | Jeffrey Smith II | Counselor | 3300 N Tenaya Way Apt 2087, Las Vegas, NV 89129-7416 | 2014-03-26 |
1710316773 | Jeffrey Smith | Registered Nurse | 273 Hundred Oaks Pkwy, Summerville, SC 29483-8193 | 2013-11-10 |
1487901583 | Jeffrey Dean Smith Jr. | Licensed Vocational Nurse | 1782 W Columbia Way, Hanford, CA 93230-1104 | 2012-08-07 |
1326315870 | Jeffrey Paul Smith | Physical Therapy Assistant | 1625 Ocala Ave, Johnstown, PA 15902-3526 | 2011-11-29 |
Street Address |
3455 POLO RD SUITE 106 |
City | WINSTON SALEM |
State | NC |
Zip Code | 27106-4828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356896443 | Kimberly Overfield Autrey | Counselor | 3455 Polo Rd, Suite 111, Winston Salem, NC 27106-4859 | 2016-08-18 |
1427481530 | Shawna Michelle Pearce | Speech-Language Pathologist | 3455 Polo Rd, Suite 109, Winston Salem, NC 27106-4859 | 2013-08-12 |
1992087274 | Simply Therapy, P.C. | Speech-Language Pathologist | 3455 Polo Rd, Suite 109, Winston Salem, NC 27106-4859 | 2011-09-13 |
1750505954 | Upper Level Homecare & Personal Care Services | Home Health | 3455 Polo Rd, Suite 108, Winston Salem, NC 27106-4828 | 2007-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
Find all providers in zip 27106 |
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 |
---|---|---|---|---|
1477939213 | The Epilepsy Institute of Nc | Psychologist | 1311 Westbrook Plaza Dr Ste 100, Winston Salem, NC 27103-1327 | 2015-08-04 |
1558779785 | Tara Laymon | Psychologist | 4264 Saddlewood Forest Dr, Winston Salem, NC 27106-3576 | 2014-07-31 |
1780901926 | Howard Thomas Bosworth | Psychologist | 1304 Ashley Square, Winston Salem, NC 27103 | 2010-04-28 |
1043549900 | Gustavo Rafael Grodnitzky | Psychologist | 736 Mitch Dr, Winston Salem, NC 27104-5126 | 2009-12-23 |
1548470776 | Dianne Mitchell, Ph.d., Pllc | Psychologist | 121 Reynolda Vlg, Suite G, Winston Salem, NC 27106-5126 | 2007-05-23 |
1801003371 | Pamela D. Corbett | Psychologist | 3560 Buena Vista Rd, Winston Salem, NC 27106-5736 | 2007-05-16 |
1295870194 | Embrenche LLC | Psychologist | 1001 S Marshall St Ste 262, 1001 S Marshall Street Suite 262, Winston Salem, NC 27101-5852 | 2007-02-20 |
1154406411 | Vicky Gaye Surratt | Psychologist | 125 Ashleybrook Square, Winston Salem, NC 27103 | 2006-10-26 |
1609800895 | David S. Bathory | Psychologist | 2575 Woodberry Dr, Winston Salem, NC 27106-4622 | 2006-07-11 |
1821037144 | William Maxwell Acree | Psychologist | 190 Kimel Park Dr Ste 121, Winston Salem, NC 27103-6946 | 2006-06-05 |
Find all providers in WINSTON SALEM |
City | WINSTON SALEM |
Zip Code | 27106 |
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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.