Robert Dean Smith, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301003249 Issued in MI

Practice address

3505 Coolidge Rd
East Lansing, MI 48823-6377

Phone

(517) 349-5987

NPI assigned

May 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1154531440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 342",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488050342",
            "telephone_number": "517-349-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 COOLIDGE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488236377",
            "telephone_number": "517-349-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301003249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN NUMBER",
            "identifier": "680-C3-4617",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Benner Smith, M.A., CCC-SLP
• Rebecca Marie Smith, M.D.
• Rick Joel Smith, MD
• Robert Smith
• Robert C Smith, M.D.
• Tyler Smith
• Shelley Bea Smithson, PH.D., M.S.W.
• Gina Marie Snoeyink, LMSW
• Bethany Snow, OT
• Solace & Bloom Counseling LLC

• Clinical Psychologist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.