DR. CLINTON JAMES SMITH (NPI# 1164764932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164764932 |
| Entity Type | Individual |
| Full Name | DR. CLINTON JAMES SMITH |
| Practice Address |
6363 Forest Park Rd Dallas TX 75390-2553 |
| Mailing Address |
Po Box 845347 Dallas TX 75284-5347 |
| Practice Telephone | 2146480102 |
| Practice Fax Number | 2146481208 |
| Mailing Telephone | 2146450624 |
| Mailing Fax Number | 2146450078 |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2018-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912339854 | Clinton Smith | Behavioral Analyst | 2 University Ct, Apt A7, Martin, TN 38237-4002 | 2013-08-02 |
| 1255512679 | Clinton M Smith | Nurse Anesthetist, Certified Registered | 14127 Roaring Fork Cir, Broomfield, CO 80023-3929 | 2007-11-14 |
| 1891791984 | Clinton M Smith | Chiropractor | 14015 Jamestown Rd, Breese, IL 62230-3647 | 2005-06-23 |
| 1679081988 | Clinton Smith | Pharmacist | 2171 S Highland Ave, Jackson, TN 38301-7739 | 2018-01-21 |
| 1811387905 | Clinton Karel Smith | Registered Nurse | 800 W 5th Ave, Spokane, WA 99204-2803 | 2015-01-28 |
| 1336585926 | Clinton Boone Smith | Family Medicine | 1300 Creason Rd, Corning, AR 72422-1716 | 2013-05-22 |
| 1710258538 | Clinton R. Smith | Nurse Practitioner | 1111 6th Ave, Des Moines, IA 50314-2613 | 2012-01-25 |
| 1992944128 | Clinton James Smith | Pharmacist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2009-02-11 |
| 1467586297 | Clinton Smith | Physical Therapist | 8 Professional Drive, Houma, LA 70360 | 2007-03-15 |
| 1306870662 | Clinton R. Smith | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2006-07-10 |
| Street Address |
6363 FOREST PARK RD |
| City | DALLAS |
| State | TX |
| Zip Code | 75390-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770682585 | Dallas Medtex Lp | Clinic/Center | 6363 Forest Park Rd, Suite # 810, Dallas, TX 75235-5479 | 2006-09-21 |
| 1598311870 | Julia Elizabeth Cartwright | Psychologist | 6363 Forest Park Rd, Dallas, TX 75235-5479 | 2019-08-13 |
| 1891227369 | Jun Tan | Student in an Organized Health Care Education/Training Program | 6363 Forest Park Rd, Bl11.202d, Dallas, TX 75390-9315 | 2017-04-03 |
| 1225560055 | Matthew Clem | Clinical Neuropsychologist | 6363 Forest Park Rd, Dallas, TX 75235-5479 | 2017-03-30 |
| 1437506508 | Dena Daniel | Counselor | 6363 Forest Park Rd, 7th Fl, Suite 749, Dallas, TX 75390-9121 | 2016-05-18 |
| 1720462310 | Alma Christina Sanchez | Social Worker | 6363 Forest Park Rd, Suite 13.408, Dallas, TX 75235-5479 | 2015-07-14 |
| 1134507049 | Sayoni Lahiri | Genetic Counselor, MS | 6363 Forest Park Rd, Suite Blb 306, Dallas, TX 75235-5479 | 2015-05-12 |
| 1316334352 | Ryan Nodurft | Social Worker | 6363 Forest Park Rd, 7th Floor Suite 749, Dallas, TX 75390-9121 | 2015-04-16 |
| 1740565084 | Medtex of Dallas | Clinic/Center | 6363 Forest Park Rd, Suite 810, Dallas, TX 75235-5479 | 2011-10-19 |
| 1881833911 | Reed J Robinson | Psychologist | 6363 Forest Park Rd, Bl07.422, Dallas, TX 75390-9119 | 2009-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075655 | Richard Mark Bresler | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Mc9159, Dallas, TX 75390 | 2020-05-21 |
| 1356970735 | Fabricio Stewan Feltrin | Student in an Organized Health Care Education/Training Program | 5323 Harry Hynes Boulevard, Dallas, TX 75390 | 2020-04-07 |
| 1477016467 | Seagal Raza Dauglas | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Mc9159, Dallas, TX 75390 | 2019-04-08 |
| 1831674340 | Adwoa Aninkorah | Nurse Practitioner | Ut Southwestern Medical Center 5151 Harry Hines Blvd, Dallas, TX 75390 | 2018-10-01 |
| 1194212712 | Christian Lobue | Clinical Neuropsychologist | 6333 Forest Park Road, 1st Floor, Bla 100, Dallas, TX 75390 | 2018-04-19 |
| 1912439720 | Linsey Lindley | Student in an Organized Health Care Education/Training Program | 5939 Harry Hines Blvd 4th Floor Suite 100, Dallas, TX 75390 | 2017-03-30 |
| 1043759418 | Alyssa Macchiaroli | Registered Nurse | 5323 Harry Hines Blvd Mail Code 8590, Dallas, TX 75390 | 2017-02-18 |
| 1609313980 | Megan Rasmussen Bollner | Physician Assistant | 5303 Harry Hines Blvd Fl 9, Dallas, TX 75390 | 2017-01-25 |
| 1518329168 | Danny Hsu Yang | Hospitalist | 6201 Harry Hines Blved, Dallas, TX 75390 | 2016-03-23 |
| 1780046532 | Omer Mirza | Hospitalist | 6201 Harry Hines Blvd Dallas, Dallas, TX 75390 | 2016-03-22 |
| Find all providers in zip 75390 | ||||
| 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 |
|---|---|---|---|---|
| 1548885296 | Marlene Williams | Psychologist | 12810 Hillcrest Rd # B123, Dallas, TX 75230-1525 | 2020-06-09 |
| 1386267201 | Courtney Nelson | Psychologist | 10420 Estate Ln, Dallas, TX 75238-2211 | 2020-05-27 |
| 1306483136 | Laura Oei | Psychologist | 17000 Dallas Pkwy Ste 219, Dallas, TX 75248-1943 | 2019-11-27 |
| 1356907695 | Mc Medical LLC | Psychologist | 3615 Charles Hardy Pkwy Ste 200, Dallas, GA 30157-9472 | 2019-05-13 |
| 1821550500 | Vanguard Center for Neurological Health | Psychologist | 4240 Sigma Rd, Dallas, TX 75244-4414 | 2019-04-02 |
| 1558831933 | Kipp Ryan Pietrantonio | Psychologist | 6363 Forest Park Rd, 7th Floor, Ste. 749, Dallas, TX 75390-9121 | 2018-11-28 |
| 1154896850 | Evan Bodine | Psychologist | 8140 Walnut Hill Ln Ste 440, Dallas, TX 75231-4328 | 2018-10-09 |
| 1235612284 | Kimberly Mccain | Psychologist | 17440 Dallas Pkwy Ste 132, Dallas, TX 75287-7367 | 2018-09-14 |
| 1528557477 | Frances E. Dawson | Psychologist | 2920 Mcfarlin Blvd, Dallas, TX 75205-1920 | 2018-05-07 |
| 1558866384 | Lindsy Magee | Psychologist | 8150 N Central Expy Ste M-1065, Dallas, TX 75206-1815 | 2018-03-25 |
| Find all providers in DALLAS | ||||
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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.