MR. THEODORE VANDIX SMITH III (NPI# 1427203157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427203157 |
| Entity Type | Individual |
| Full Name | MR. THEODORE VANDIX SMITH III |
| Credential | L.M.S.W. |
| Practice Address |
71-50 Parsons Blvd. Flushing NY 11365 |
| Mailing Address |
102-32 189th Street Hollis NY 11423 |
| Practice Telephone | 7185916750 |
| Mailing Telephone | 7184542152 |
| Enumeration Date | 2008-11-21 |
| Last Update Date | 2008-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
068663-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932111 | Theodore L Smith | Peer Specialist | 9401 Lorain Ave # 102, Cleveland, OH 44102-4726 | 2020-04-29 |
| 1144790627 | Theodore Roosevelt Smith | Licensed Practical Nurse | 830 Ezzard Charles Drive, Cincinnati, OH 45214 | 2018-11-28 |
| 1629228408 | Theodore Michael Smith | Massage Therapist | 13818 6760 Rd, Montrose, CO 81401-7494 | 2008-09-29 |
| 1558583492 | Theodore Williams Smith | Psychiatry & Neurology | 100 Edgewood Avenue N.e., Suite 1228, Atlanta, GA 30303-3068 | 2007-05-02 |
| 1265544340 | Theodore G. Smith | Chiropractor | 639 Old Phoenix Rd, Eatonton, GA 31024-5610 | 2006-08-31 |
| 1477152924 | Theodore Smith | Social Worker | 140 Michigan Ave W, Battle Creek, MI 49017-3602 | 2020-10-25 |
| 1649880758 | Theodore James Smith | Physical Therapist | 4605 Sawmill Rd, Upper Arlington, OH 43220-2246 | 2020-08-04 |
| 1336506658 | Theodore C Smith | Registered Nurse | 600 East Blvd, Elkhart, IN 46514-2483 | 2016-01-16 |
| 1841600947 | Theodore Roosevelt Smith IIi | Behavioral Analyst | 3171 S Jones Blvd, Las Vegas, NV 89146-6703 | 2014-04-29 |
| 1891053435 | Theodore Smith | Home Health Aide | 2312 Rhode Island Ave Ne, Washington, DC 20018-2829 | 2012-05-02 |
| Street Address |
71-50 PARSONS BLVD. |
| City | FLUSHING |
| State | NY |
| Zip Code | 11365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427660653 | Melanie Batista | Massage Therapist | 71-55 Parsons Blvd, Fresh Meadows, NY 11365 | 2020-08-19 |
| 1497396378 | Celestina Andino | Registered Nurse | 194-15b 64th Circle, 3c, Fresh Meadows, NY 11365 | 2019-10-02 |
| 1659939304 | Bracha Kosoff | Occupational Therapist | 71-64 168th St., Flushing, NY 11365 | 2019-05-29 |
| 1295290419 | Kate Okeke | Licensed Practical Nurse | 188 04 64th Avenue, Fresh Meadow, NY 11365 | 2019-02-01 |
| 1669951497 | Jihee Woo | Registered Nurse | 189-04 6f Fresh Meadows, Queeens, NY 11365 | 2018-08-13 |
| 1710465125 | In Hye Choi | Acupuncturist | 67-02a 188st., Apt 3b, Fresh Meadows, NY 11365 | 2018-07-30 |
| 1497231112 | Shamain C Persaud | Case Manager/Care Coordinator | 67-28 188th Street, Fresh Meadows, NY 11365 | 2018-07-16 |
| 1598280489 | Gabriella Pamela Koyenova | Physician Assistant | 69-24 181st Street, Fresh Meadows, NY 11365 | 2017-08-11 |
| 1750802781 | Nicola Coley | Behavioral Analyst | 6747 161st Street, 1k, Flushing, NY 11365 | 2017-06-29 |
| 1811427941 | Jong M Lee | Acupuncturist | 6020b 194th St Apt 3b, Fresh Meadows, NY 11365 | 2017-06-12 |
| Find all providers in zip 11365 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316554280 | Stephanie K Palacios | Counselor | 6344 Saunders St Ste 1, Flushing, NY 11374-2044 | 2020-09-25 |
| 1891304531 | Denise X Arieli | Counselor | 4541 193rd St, Flushing, NY 11358-3441 | 2020-07-29 |
| 1528676558 | John Esposito | Counselor | 19014 39th Ave, Flushing, NY 11358-2411 | 2020-07-15 |
| 1538787783 | Samantha Maresca | Counselor | 2909 137th St Apt 3g, Flushing, NY 11354-2002 | 2020-07-13 |
| 1164049441 | Michelle Silver Lining Mental Health Counseling Pllc | Counselor | 7907 149th St, Flushing, NY 11367-2062 | 2020-07-02 |
| 1891334538 | Iris Harel | Counselor | 14138 71st Rd, Flushing, NY 11367-1945 | 2019-12-28 |
| 1467913228 | Phillips Mental Health Counseling, P.c | Counselor | 19402 Northern Blvd Ste 212, Flushing, NY 11358-3003 | 2019-03-26 |
| 1497210611 | Andree Michel Decastro | Counselor | 76-05 Roosevelt Ave, 2nd Fl, Flushing, NY 11372 | 2019-02-01 |
| 1487127122 | Rye Rin Cho | Counselor | 3520 147th St Apt 12a, Flushing, NY 11354-3767 | 2019-01-04 |
| 1891201372 | Rebecca Rothman | Counselor | 14468 Roosevelt Ave, Flushing, NY 11354-6253 | 2017-12-20 |
| Find all providers in FLUSHING | ||||
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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.