DR. JAMES RALPH SMITH (NPI# 1659364180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659364180 |
| Entity Type | Individual |
| Full Name | DR. JAMES RALPH SMITH |
| Credential | PH.D. |
| Practice Address |
2506 Galen Dr Suite 103 Champaign IL 61821-7046 |
| Practice Telephone | 2173980744 |
| Practice Fax Number | 2173980778 |
| Mailing Telephone | 2173980744 |
| Mailing Fax Number | 2173980778 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2012-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071-003744 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282707 | James Smith | Technician | 5020 Alta Dr, Las Vegas, NV 89107-3940 | 2020-10-12 |
| 1659905206 | James Donald Smith | Counselor | 3225 Templeton Gap Rd Ste 102, Colorado Springs, CO 80907-8729 | 2020-02-22 |
| 1669025359 | James Smith | Pharmacist | 2809 E Caldwell Blvd, Caldwell, ID 83605 | 2019-07-22 |
| 1558835181 | James Austin Smith Jr. | Meals | 7100 New Kensington Ct, Warrenton, VA 20187-8901 | 2019-01-16 |
| 1669944260 | James Antonio Smith | Counselor | 669 Castlebottom Dr, Lawrenceville, GA 30045-2796 | 2018-12-19 |
| 1932678406 | James Edward Smith | Physical Therapist | 723 Pa-113 #6, Souderton, PA 18964 | 2018-11-14 |
| 1295216398 | James Smith | Non-emergency Medical Transport (VAN) | 8057 Perfect Vw, Ooltewah, TN 37363-4961 | 2018-08-27 |
| 1801345640 | James Franklin Smith Jr. | Peer Specialist | 1919 N Market Ave, Unit B, Shawnee, OK 74804-3644 | 2016-09-21 |
| 1477908846 | James Keith Smith | Podiatrist | 6 Regional Dr Suite D, Pinehurst, NC 28374-8850 | 2016-05-04 |
| 1952776122 | James Smith | Physical Therapy Assistant | 715 Hillmont Cir, Harrisonburg, VA 22801-2293 | 2015-12-14 |
| Street Address |
2506 GALEN DR SUITE 103 |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61821-7046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356334536 | Robert J. Lentz | Psychologist | 2506 Galen Dr, Suite 103, Champaign, IL 61821-7046 | 2005-08-23 |
| 1508177734 | Robert Joseph Boucek Jr. | Psychologist | 2506 Galen Dr, #103, Champaign, IL 61821-7046 | 2010-06-22 |
| 1538157961 | Sandra Kay Ferguson | Social Worker | 2506 Galen Dr, Suite 103, Champaign, IL 61821-7046 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
| 1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
| 1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
| 1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
| 1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
| 1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| Find all providers in zip 61821 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710412119 | Kevin Christopher Hiner | Psychologist | 203 Avondale Ave, Champaign, IL 61820-6505 | 2017-04-24 |
| 1851709026 | Hannah Clark | Psychologist | 515 N Hickory St Apt 202, Champaign, IL 61820-3889 | 2014-07-31 |
| 1811305527 | Theresa Benson | Psychologist | 1910 Mcdonald Dr, Champaign, IL 61821-6055 | 2014-07-25 |
| 1588965479 | Samira Grace Didos | Psychologist | 1503 Waterford Pl, Champaign, IL 61821-6971 | 2010-11-08 |
| 1952534026 | Brandi Elizabeth Burque | Psychologist | 3915 Rockdale Dr, Champaign, IL 61822-2051 | 2009-08-24 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| 1326244237 | Linda Miller, Lcsw | Psychologist | 3306 Lakeshore Dr, Champaign, IL 61822-5206 | 2007-06-26 |
| 1891905303 | Geneva Reynaga Abiko | Psychologist | Uiuc Counseling Center, 610 E. John Street, 206 Ssb, Champaign, IL 61820 | 2007-05-23 |
| 1518188036 | John T Jones | Psychologist | 206 N. Randolph Street, Suite 510, Champaign, IL 61820 | 2007-05-01 |
| 1295959740 | Gregory Allen Miller | Psychologist | 603 E Daniel St, Dept. of Psychology, U. Illinois, Champaign, IL 61820-6232 | 2007-04-13 |
| Find all providers in CHAMPAIGN | ||||
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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.