Individual provider Active NPI

Eric Nathan Smernoff, PH. D.

  • Clinical Neuropsychologist
  • Dallas, TX
National Provider Identifier
1013977800
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
32281 Issued in TX
Practice address
6333 Forest Park Rd Ste Bla .110
Dallas, TX 75235-5461
Phone
(214) 648-4646
Fax
(214) 645-3775
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 32281 TX
Clinical Neuropsychologist 103G00000X 32281 TX Primary

Addresses

Primary practice location

6333 Forest Park Rd Ste Bla .110
Dallas, TX 75235-5461

Mailing address

6333 Forest Park Rd Ste Bla .110
Dallas, TX 75235-5461
Phone (214) 648-4646

Other practice location 1

9101 N Central Expy
Suite 190
Dallas, TX 75231-5927
Phone (214) 818-5765

Other practice location 2

6363 Forest Park Road 7th Floor Ste 749
Dallas, TX 75390-5927
Phone (214) 645-8500

Other identifiers 2

IdentifierTypeStateIssuer
86847AOtherTXBCBS
1649311-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521000933 TX Practitioner - Clinical Psychologist 7416941034 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

9101 N Central Expressway
230 Baylor Scott and White Cognitive Behavior
Dallas, TX 75231
Phone (214) 818-5765

Hospital & facility affiliations

  • Baylor University Medical Center Hospital, Dallas, TX, CCN 450021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
32281TXMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 26, 2017 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 26, 2017 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince May 6, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince May 6, 2024 Accepting new patients
Dallas Neurobehavioral Associates Clinical Neuropsychologist PastSince Mar 29, 2011 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Past Accepting new patients

Locations

8200 Walnut Hill Ln
Ste J7
Dallas, TX 75231
Phone (214) 345-7359

9101 N Central Expy
Ste 190
Dallas, TX 75231
Phone (214) 818-5765

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

9101 N Central Expy
Ste 230
Dallas, TX 75231
Phone (214) 818-5765

6333 Forest Park Rd
Ste Bla
Dallas, TX 75235
Phone (214) 645-6828

8230 Walnut Hill Ln
Ste 204
Dallas, TX 75231
Phone (214) 345-6000

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

Interoperability endpoints

  • Direct secure messaging: esmernoff931008@direct.sw.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013977800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 FOREST PARK RD STE BLA .110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355461",
            "telephone_number": "214-648-4646",
            "fax_number": "214-645-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 FOREST PARK RD STE BLA .110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752355461",
            "telephone_number": "214-648-4646",
            "fax_number": "214-645-3775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9101 N Central Expy",
            "address_2": "Suite 190",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752315927",
            "country_code": "US",
            "telephone_number": "214-818-5765",
            "fax_number": "214-818-5782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6363 Forest Park Road 7th Floor Ste 749",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753905927",
            "country_code": "US",
            "telephone_number": "214-645-8500",
            "fax_number": "214-645-3775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMERNOFF",
        "first_name": "ERIC",
        "middle_name": "NATHAN",
        "credential": "PH. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "32281",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "32281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "86847A",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649311-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.