RICO SMITH (NPI# 1447886502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447886502 |
Entity Type | Individual |
Full Name | RICO SMITH |
Credential | MD |
Practice Address |
314 E Green St Macon MS 39341-2850 |
Practice Telephone | 6622281435 |
Mailing Telephone | 6622281435 |
Enumeration Date | 2020-03-19 |
Last Update Date | 2020-03-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
2728292 | MS | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 84-2217156 | 05 |
Street Address |
314 E GREEN ST |
City | MACON |
State | MS |
Zip Code | 39341-2850 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134616113 | Noxubee General Critical Access Hospital | Pharmacy | 34 Hospital Road, Macon, MS 39341 | 2018-04-16 |
1821390949 | Margaret Rice | Counselor | 200 Mlk St W, Macon, MS 39341 | 2010-11-22 |
1619109840 | Katisha Gordon | Counselor | 200 Mlk St, Macon, MS 39341 | 2009-08-21 |
1912193459 | Crawford Health Clinic, LLC | Clinic/Center | 15865 Highway 14, Macon, MS 39341 | 2007-09-19 |
1578680005 | Region Vii Mh Mr Commission | Counselor | 200 Lawerence St, Macon, MS 39341 | 2007-03-22 |
1255473906 | Macon Clinical Laboratory, Inc. | Clinical Medical Laboratory | 602 Njefferson Street, Macon, MS 39341 | 2007-02-12 |
1093880874 | Mhs, Inc. | Clinic/Center | 602 N. Jefferson St., Macon, MS 39341 | 2006-11-21 |
1841216413 | Freds Stores of Tennessee Inc | Pharmacy | 59 Frontage Rd, Macon, MS 39341 | 2006-07-15 |
1902844194 | Noxubee General Critical Access Hospital | General Acute Care Hospital | 606 North Jefferson Street, Macon, MS 39341 | 2006-06-02 |
1285725838 | Jennifer Yuson Dozier | Nurse Practitioner | 606 North Jefferson Street, Macon, MS 39341 | 2006-09-27 |
Find all providers in zip 39341 |
Taxonomy Code | 103TP0016X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Prescribing (Medical) |
Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588846281 | Behavioral Medicine Clinic,pa | Psychologist | 5000 Hwy 39 N, Meridian, MS 39301-1021 | 2007-12-04 |
1922374057 | Toni L Ladner | Psychologist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2012-03-22 |
1225303068 | Mindful Solution, LLC | Psychologist | 1 Commerce Dr, Suite 205, Hattiesburg, MS 39402-1499 | 2012-03-13 |
1790087393 | Jackson Psychiatry Group | Psychologist | 1855 Lakeland Dr, Suite P121, Jackson, MS 39216-4913 | 2010-12-02 |
1629378971 | Pmt Clinic | Psychologist | 1855 Lakeland Dr, Suite P101, Jackson, MS 39216-4913 | 2010-11-02 |
1558580662 | Beverly Tedford | Psychologist | 601 Foote St, Corinth, MS 38834-4834 | 2007-04-25 |
1386860898 | Wellness Clinic, P.C. | Psychologist | 5740 Getwell Rd, Bldg 4c, Southaven, MS 38672-6346 | 2007-04-17 |
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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.