MR. JEFFREY BRIAN SMITH (NPI# 1346420809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346420809 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY BRIAN SMITH |
| Credential | EDD, LBA, BCBA-D |
| Practice Address |
4055 N Park Loop Ste 1000 Memphis TN 38152-4869 |
| Mailing Address |
10385 Loblolly View Ln Lakeland TN 38002-4869 |
| Practice Telephone | 3209901678 |
| Practice Fax Number | 9016785630 |
| Mailing Telephone | 9014887830 |
| Mailing Fax Number | 9013090198 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1-04-1533 | TN | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | 00010 | TN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10385 Loblolly View Ln, Lakeland, TN 380024869 | 9014887830 | 9013090198 |
| 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 |
4055 N PARK LOOP STE 1000 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38152-4869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144562372 | Matthew Alan Davidson | Behavioral Analyst | 4055 N Park Loop Ste 1000, Memphis, TN 38152-4236 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427603554 | University of Memphis | Psychologist | 4055 North Park Loop, Suite 1000, Memphis, TN 38152 | 2019-08-06 |
| 1952911455 | Brianna Amaba | Counselor | 3675 Alumni Ave, Memphis, TN 38152-0001 | 2020-08-09 |
| 1215415450 | Lawrence Reynolds | Specialist/Technologist | 1115 East Getwell Loop Bill Jmurphy Football Complex, Memphis, TN 38152-0001 | 2018-07-31 |
| 1518309202 | Southern College of Optometry | Optometrist | 212 Rawlins Service Ct, Room 201, Memphis, TN 38152-0001 | 2013-07-23 |
| 1144559899 | Nila Jean Lawson | Clinical Nurse Specialist | 200 Hudson, Memphis, TN 38152-0001 | 2009-12-09 |
| 1396953071 | Robert Joseph Maichrowicz | Psychologist | 214 Wilder Tower, University of Memphis, Memphis, TN 38152-0001 | 2007-05-18 |
| 1861864530 | Amy Polumbo Nabors | Speech-Language Pathologist | 4055 N Park Loop, Memphis, TN 38152-1750 | 2015-10-21 |
| 1922236546 | Robert Allen Neimeyer | Psychologist | Department of Psychology 400 Innovation Dr, University of Memphis, Memphis, TN 38152-3230 | 2009-06-23 |
| 1477753564 | Meghan Eileen Mcdevitt-murphy | Psychologist | 202 Psychology Bldg, University of Memphis, Memphis, TN 38152-3230 | 2007-07-18 |
| 1255665238 | University of Memphis | Clinic/Center | 200 Hudson Health Ctr, Memphis, TN 38152-3320 | 2009-09-24 |
| Find all providers in zip 38152 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295387868 | Jigsaw Behavioral Academy | Psychologist | 2175 Durham Ave, Memphis, TN 38127-3409 | 2019-07-12 |
| 1891975397 | Dawn M Stewart | Psychologist | 214 S Greer St, Memphis, TN 38111-3434 | 2007-11-13 |
| 1356421663 | Katherine V Powers | Psychologist | 371 Alexander St, Memphis, TN 38111-4450 | 2006-10-17 |
| 1720007388 | Beverly Brown | Psychologist | 5068 Carterville Pl, Memphis, TN 38127-2525 | 2006-07-18 |
| 1841787694 | Dennis Lamar Painter I | Psychologist | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2018-04-17 |
| 1164705554 | Advancing Developmental Skills Pllc | Psychologist | 371 Alexander St, Memphis, TN 38111-4450 | 2011-09-22 |
| 1699881318 | Bruce L. Keisling | Psychologist | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2006-08-23 |
| 1285634758 | David M Deason | Psychologist | 3950 Central Ave, Memphis, TN 38111-7602 | 2005-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058051 | Judy Mier-chairez | Psychologist | 155 Franklin Rd Ste 135, Brentwood, TN 37027-4646 | 2020-06-17 |
| 1639331168 | Julie Ann Demarco | Psychologist | 8284 Clinton Way Ln, Cordova, TN 38018-6305 | 2008-06-26 |
| 1669633384 | Susan Kay Fuhr | Psychologist | 141 N Martinwood Rd, Your Journeys 104-7, Knoxville, TN 37923-5137 | 2008-06-25 |
| 1225208531 | Michelle Mcatee | Psychologist | 109 Holiday Ct Ste D6, Franklin, TN 37067-1311 | 2008-03-04 |
| 1598934762 | Dara T. Kline | Psychologist | 1637 Niggs Creek Rd, Oneida, TN 37841-6417 | 2008-02-21 |
| 1578767208 | Karen Swoboda | Psychologist | 106 Parkland Cir, Clarksville, TN 37043-6846 | 2007-06-14 |
| 1902940349 | The Habilitation Corporation | Psychologist | 1396 Beaver Trail Dr, Cordova, TN 38016-9601 | 2007-02-19 |
| 1417097866 | David Chamberlain | Psychologist | 249 Twin Barns Rd, Greeneville, TN 37743-0968 | 2007-02-07 |
| 1225124209 | We Care Individual and Family Service Center Inc. | Psychologist | 1273 Dayton Mtn Hwy, Dayton, TN 37321-2816 | 2006-10-05 |
| 1871588855 | David Arlen Solovey | Psychologist | 7302 Jarnigan Rd, Chattanooga, TN 37421-3042 | 2005-09-15 |
| Find all providers with the same taxonomy | ||||
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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.